Spondylolisthesis is readily identified on the midline sagital images. The MRI machine uses a large magnet and a computer to take pictures of the inside of your body.
Posterior wedging of the vertebral body is seen, which is an ancillary finding suggesting the presence of spondylolysis at this level.
Because spondylolisthesis is a condition that tends to worsen with time, most people who start taking narcotics find it very difficult to stop. N Engl J Med. Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis.
Authors' Discussion Neurosurgeon Washington Neurosurgical Associates In discussing fusion versus decompression alone for spondylolisthesis with spinal stenosis, the US data favors fusion, whereas the European data does not favor fusion. If the pain radiates, it is usually to the buttocks or the back of the thigh and is often from hamstring tightness rather than lumbar radiculopathy.
Surgical correction is the best option. A defect of the pars interarticularis is seen arrows with cortical interruption and a resultant grade I spondylolisthesis.
This observation may be an additional clue that a pars defect is present E,F and may be a reflection of the duration of disease. An MRS is used to diagnose tumors based on their chemical make-up.
The type of therapy that we employ emphasizes core conditioning and strengthening and our therapists will instruct you on how to do these exercises properly. Minimally invasive laminectomy and interbody fusion at L4-L5 with percutaneous pedicle screws.
This turns an all-posterior construct into a load-sharing versus a load-bearing construct.