What is Isthmic Spondylolisthesis?
Isthmic spondylolisthesis is a spinal condition which appears when there is a break in the os , known as pars interarticularis , which connects the two vertebral joints on the ulterior side of the spine resulting in forrader slipping of vertebral dead body on the one below it . Pars interarticularis is a little piece of music of bone and cracking in this take place due to any type of tension to the bone . The fracture often tend to occur in youthful age when the patient role is about 5 to 7 yr old ; however , the symptom commonly do not develop until the patient is well into maturity . When the patient role is in adolescence , then he / she can find a spike of low back pain from the Isthmic spondylolisthesis .
According to statistic , about 5 to 7 % of the full population suffer from either a fracture of the pars interarticularis or slipped vertebral body ( spondylolisthesis ) ; however , symptoms will be absent in most of the cases . Majority of the patients suffering from Isthmic spondylolisthesis will not have symptoms . Even if there are symptom present , then only some of them , like about 20 % will call for surgical correction .
Causes of Isthmic Spondylolisthesis
Symptoms of Isthmic Spondylolisthesis
Grading of Isthmic Spondylolisthesis
A side - view XTC - ray is taken to assess the severity of the slippage and leveling is done from 1 to 4 . The slippage is grade allot to the amount the upper vertebral body has luxate forward onto the lower vertebral body .
Investigations to Diagnose Isthmic Spondylolisthesis
Treatment for Isthmic Spondylolisthesis
discourse is done agree to the scaling of the Isthmic spondylolisthesis . It is fortunate that most of the time the slips which take place are about grade 1 or ground level 2 . If the patient role develops symptom , then discussion for Isthmic spondylolisthesis can be done with medicines . In stark cases , OR is necessitate . Other factors which are taken into account before treatment is started include intractable pain and neurologic symptom . For bulk of the case of isthmic spondylolisthesis which are in the Grades I and II category , buttoned-down treatment is sufficient which constitute of :
Surgery for Isthmic Spondylolisthesis
Surgical interference is required for the more severe slips , i.e. which come under the Grade III and above category . Surgery is also needed in the following cases :
