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| markblandon |
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| Spondylolisthesis is a condition where one vertebra slips forward over
the one below it, most commonly in the lower back (lumbar spine). It
requires a comprehensive approach to both diagnosis and treatment.
Diagnosis typically begins with a thorough medical history and physical
examination, assessing symptoms like low back pain, leg pain
(radiculopathy), numbness, or weakness, often exacerbated by activity.
Imaging studies are crucial: X-rays confirm the slip and its grade,
while MRI or CT scans provide detailed views of nerve compression and
soft tissue involvement, essential for surgical planning. Spondylolisthesis Treatment NJ
pathways are primarily conservative for milder cases and stable slips,
focusing on pain management and improving function through activity
modification, rest, anti-inflammatory medications (NSAIDs), and muscle
relaxants. Surgical intervention is considered when conservative
measures fail to provide adequate relief, pain is severe and
debilitating, neurological deficits are progressive, or the slip is
significantly unstable or worsening; procedures often involve a
laminectomy to decompress pinched nerves followed by spinal fusion
(arthrodesis) to permanently join and stabilize the affected vertebrae,
aiming to alleviate pain, restore function, and improve the patient's
quality of life. |
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