Spondylolisthesis

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Spondylolisthesis is graded based on the percentage of slippage of one vertebra over another. The grades range from I to V, with increasing severity: • Grades of Spondylolisthesis: • 1. Grade I (Mild): • Slippage of less than 25%. • Treatment Options: • Non-surgical treatments like physical therapy, anti-inflammatory medications, and bracing. • Activity modification to avoid exacerbating the condition. • Epidural steroid injections for pain relief if necessary. • 2. Grade II (Moderate): • Slippage of 25-50%. • Treatment Options: • Similar to Grade I, with a focus on conservative treatments like physical therapy and medications. • Bracing may be more common to help stabilize the spine. • If symptoms persist or worsen, surgical intervention may be considered, though not always required. • 3. Grade III (Severe): • Slippage of 50-75%. • Treatment Options: • Surgery is more commonly recommended at this stage, especially if there is significant pain, nerve compression, or functional limitations. • Common surgeries include spinal fusion to stabilize the vertebrae, or decompression surgery to relieve pressure on the spinal nerves. • 4. Grade IV (Very Severe): • Slippage of 75-100%. • Treatment Options: • Surgery is almost always recommended to correct the severe misalignment and relieve symptoms. • Spinal fusion and decompression are often necessary to stabilize the spine and prevent further slippage or nerve damage. • 5. Grade V (Spondyloptosis): • Complete vertebral slippage where the upper vertebra has completely fallen off the lower vertebra. • Treatment Options: • This is a rare and extreme case that almost always requires surgery. • The surgical approach is typically complex and involves spinal fusion and stabilization to restore spine alignment. • Non-surgical treatments (Grades I and II): • Chiropractic Biophysics mirror image Spondylolisthesis specific traction utilizing a Robotable had shown remarkable improvements helping many patient to avoid surgery. • Physical Therapy: Strengthening the muscles around the spine to reduce strain and increase stability. • • Medications: Pain relief using NSAIDs or muscle relaxants. • Injections: Steroid injections to reduce inflammation and pain. • Bracing: To support and limit movement in the affected area, especially in mild cases. • Surgical treatments (Grades III-V): • • Spinal Fusion: Fusing the slipped vertebrae to the adjacent vertebrae to prevent further slippage. • Laminectomy (Decompression Surgery): Removing part of the bone or disc material to relieve pressure on the spinal nerves. • Instrumentation: The use of screws, rods, or cages to stabilize the spine during or after surgery. • #bethesdaspineandposture #posturecorrection #spondylolisthesis #chiropracticbiophysics

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