Isthmus Spondylolisthesis

Isthmus Spondylolisthesis is a concern for many patients. The condition has been blamed for many pain syndromes, neurological symptoms and disabilities by doctors of all varieties. The reality of this condition is rarely so cruel, as most cases are completely innocent and asymptomatic. Spondylolisthesis has joined the list of common back pain scapegoats, when in fact it is rarely the actual cause of any problematic symptoms.

Isthmus Spondylolisthesis Degrees

Spondylolisthesis is measured in degrees of slippage. Most cases are mild, with the affected vertebrae being less then 25% out of position in the spine. These cases are almost always asymptomatic or mildly symptomatic. Slippage of 25% to 50% is moderate and might entail some physical symptoms and restrictions in patient functionality. Slippage between 50% and 75% is severe and might cause actual pain and disability. Complete vertebral slippage is called Spondyloptosis. Complete slippage of a vertebral bone is a very serious health concern and often results in spinal instability. Most patients demonstrate very mild to mild vertebral slippage in the L4 or L5 vertebrae.

Congenital Spondylolisthesis

Congenital cases of spondylolisthesis are usually among the least symptomatic. If you have been born with an existent condition or a pre-disposition to develop vertebral slippage, don�t worry. Chances are that your body will develop normally and acclimate to your spondylolisthesis as you grow. Symptoms are sometimes present during periods of rapid growth, but usually resolve on their own. Severe congenital spondylolisthesis is extremely rare.

Recommendation on Isthmus Spondylolisthesis

If you have severe vertebral slippage as a result of a serious back injury or severe degenerative back pain condition, than most likely, treatment will be necessary. Most of you will have a small slippage that actually has little or no effect on your spinal function or nerve signal. Do not be intimidated by these mild forms of spondylolisthesis. The nocebo effect of the diagnosis can be severe...

If you do have serious slippage, make sure to discuss treatment options and expectations carefully with your physician. It is always best to explore all options before making a choice.

Isthmus Spondylolisthesis to Back Pain Home page 8/3/07