Spondylolisthesis-What Is That?
So, what is spondylolisthesis? In simple terms, it is the sliding forward of one vertebra over another. It occures in about 7% of the western population and up to 30-50% in cultures that carry their young on their back (like a backpack). It is reported that most people who develop spondylolistehsis acquire this between ages 6 and 16 due to a developmental weakness in that part of the spine. However, the cause can also be traumatic, where rapid, uncontrolled backward bending occurs. It can also gradually occur over time (called “degenerative”), usually not found before age 50-60, where no single event can be recalled by the patient. There is also a congenital type that can be hereditary where one is born with it, though most authorities feel it is acquired at an early age. The good news is that it is often stable and does not require surgery. In the more severe case, the nerves and/or spinal cord can get pinched in which case surgery is nevessary. The symptoms would then include leg pain, weakness and/or numbness with or without significant low back pain. Most cases, however, can be sucessfully managed without surgery and do not compromise the nerves or cord.
Chiropractic care, and sometimes, non-surgical spinal decompression has been found to be very successful in managing patients with spondylolistehesis as the pain generator is often above or below the slipped vertebra. In face, in one report, chiropractic was found to be more beneficial than medical care of this condition (Mierau D, et. al., J Manip Physiol Therap 1987;10:49-55).
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