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Spondylolisthesis

Spondylolisthesis is the anterior or posterior displacement of a vertebra or the vertebral column in relation to the vertebrae below. The variant "listhesis," resulting from misdivision of this compound word, is sometimes applied in conjunction with scoliosis. These "slips" (aka "step-offs") occur most commonly in the lumbar spine. Spondylolysis (a defect or fracture of the pars interarticularis of the vertebral arch) is the most common cause of spondylolisthesis.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with spondylolisthesis, 80% report having low back pain, 79% report having back pain, and 74% report having leg pain. The symptoms that are highly suggestive of spondylolisthesis are low back pain and lower body pain, although you may still have spondylolisthesis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with spondylolisthesis often receive radiographic imaging procedure, plain x-ray, physical therapy exercises, magnetic resonance imaging, other diagnostic procedures (interview; evaluation; consultation), insertion of catheter or spinal stimulator and injection into spinal canal, other therapeutic procedures and bone density scan .

Common Medications

The most commonly prescribed drugs for patients with spondylolisthesis include diclofenac, piroxicam, cortisone, levocabastine ophthalmic, dehydrocholic acid, bioflavonoids (p-1000), diphenhydramine / ibuprofen, aspirin / caffeine, magnesium gluconate (almora), pamidronate, brompheniramine / pseudoephedrine, scopolamine and iopamidol (isovue) .

Who is at risk?

Groups of people at highest risk for spondylolisthesis include age 60-74 years. On the other hand, age 1-4 years and age < 1 years almost never get spondylolisthesis.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.5x
15-29 years
0.3x
30-44 years
0.9x
45-59 years
1.3x
60-74 years
2.3x
75+ years
1.5x

Sex

Male
0.9x
Female
1.1x

Race/Ethnicity

Black
0.3x
Hispanic
0.3x
White
1.4x
Other
0.7x
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