Spondylolysis and Spondylolisthesis are conditions affecting the facet joints that align the vertebrae one on top of the other.
Spondylolysis is a weakness or stress fracture in the facet joint area. This weakness can cause the bones to slip forward out of normal position (anterior vertebral sliding), which called Spondylolisthesis and kink the spinal nerves. This condition may be accompanied by pain in the lower back and legs, as well as various neurological developments in form of impaired sensitivity and movements in the lower extremities.
The diagnosis of spondylolysis and/or spondylolisthesis may be suspected, particularly if the above-mentioned physical findings are present.
An X-ray or CT/MRI scan is required to confirm the diagnosis, as well as to grade the severity of the condition.
X-ray, CT and MRI applies in order to diagnose a defect of the inter-articular part of the arch, or sliding of the vertebra relatively to the underlying one, and also to show the degree of compression of the nerve structures of the spinal canal.
This minimally invasive procedure is performed with x-ray guidance and involves an injection of corticosteroids and a numbing agent into the spine. The medicine is delivered right into the painful area to reduce the swelling and inflammation of the nerves. Repeat injections may be given to achieve full effect. Duration of pain relief varies, lasting for weeks or years. Injections are done in conjunction with a physical therapy and/or home exercise program to strengthen the back muscles and prevent future pain episodes.
Epidural steroid injections:
An injection of corticosteroid and a numbing agent is delivered into the epidural space of the spinal canal or nerve root canals to reduce the swelling of the nerves.
We conduct up to 30 different epidural steroid injections weekly, which effectively relieve pain syndrome of Spondylolisthesis. We have the largest experience in its implementation in Ukraine.
An injection of corticosteroid and a numbing agent is delivered directly into the painful facet joint.
If facet joint injections relieve your pain, an ablation procedure may be performed to “burn” the small nerves around the facet joint to deaden the pain signals
Surgical treatment is necessary only if conservative treatment is not able to keep the pain at a tolerable level, and in the presence of neurological radicular symptoms.
In our practice, we use endoscopic and minimally invasive methods of treating Spondylolisthesis
- Small incision (less than 1 cm) leads to Reduced risk of infection and minimal surgery-related blood loss
- Minimal trauma to surrounding tissues
- Low postoperative pain
- 3-4 nights in a hospital
- Fast recovery with minimal rehabilitation, quick return to your usual lifestyle
- Low relapse rate
- Better functional and cosmetic result.