Although it’s hard to understand how this can happen, spondylolisthesis is a condition where one of your vertebrae, most commonly located in the lower spine (lumbar), slides forward over the bone below it. When this happens the spinal column becomes misaligned and the condition should be treated as soon as it is discovered to prevent further complications.
The problem is that when this slippage occurs sometimes the person will not have any symptoms, or will have symptoms that develop in later years. Otherwise the sufferer may have pain in the lower back or buttocks and other symptoms.
What causes spondylolisthesis?
The bones in your spine are aligned by several small joints that keep the bones lined up while still allowing them to move. Spondylolisthesis occurs when a problem with one of these small joints allows one of the vertebrae to move out of line.
These are some of the joint problems that can result in spondylolisthesis:
- A joint damaged by trauma
- A congenitally defective joint
- A vertebra with a stress fracture from overuse of the joint
- A joint damaged by arthritis or infection
In children and teens, sports can often be the cause of spondylolisthesis. Some sports such as gymnastics or weightlifting can overuse the back bones to a degree that a stress fracture occurs in the vertebrae, resulting in spondylolisthesis.
In older adults, spondylolisthesis can develop when wear and tear on the back leads to stress fractures. It can occur without stress fractures when the disc and joints are worn down and slip out of place.
What are the symptoms?
Although sometimes there are no immediate symptoms with spondylolisthesis, there are symptoms that often accompany the condition:
- Numbness or weakness in one of both legs
- Back or buttock pain
- Pain that runs from the lower back down one or both legs
- Pain when walking
- Leg, back, or buttock pain that gets worse when you bend over or twist.
If left untreated, spondylolisthesis can result in increased lordosis (swayback) or kyphosis (roundback). This can lead to pronounced slouching, neurological deficits, and decreased lung capacity.
Muscle strength in the lower back can be the cause of many cases of spondylolisthesis, so the team at Texas Neurosurgery may first look at physical therapy to build the stomach and back muscles. If a sport is the cause, obviously, that activity needs to stop.
Sometimes there can be nerve or spinal cord damage due to spondylolisthesis. If the pain is extreme or the bones continue to move, surgery may be necessary. The goal of surgery would be to remove any bone or other tissue that is pressing on the spinal cord or nerves. This surgery is called decompression. Sometimes, we may also need to fuse the bones in position to keep them from moving.
If you have any of the symptoms of spondylolisthesis, we need to see you at Texas Neurosurgery. Treating this condition before it worsens can be key to successful outcomes. Call us at 214-823-2052 for an appointment or with any questions.