Limitations Associated with Spondylolisthesis

Spondylolisthesis is a condition in which an instability of the spine occurs, resulting in one vertebra sliding forward onto the vertebra below it. There are six types of Spondylolisthesis and they include Isthmic, Degenerative, Dysplastic, Traumatic, Pathologic and Latrogenic. The two most common types are Isthmic, caused by fracture, and Degenerative, brought on by age and degeneration. Limitations can vary with the different types and with the extent and angle of the slippage.

Activity Modification

• Often in cases of Isthmic Spondylolisthesis, the fracture of the vertebra, which causes it to slip forward, occurs while engaging in a sport that requires hyperextension. These sports include wrestling, gymnastics or football. The patient should not participate in these activities while the fracture is healing and, if back pain continues, they may not want to return to the sport. Wearing a back brace may be advised while participating in future sports activities.

Heavy Lifting

• Lifting, deep bending or stooping, or twisting the back are all activities that, if done repeatedly, may result in the type of fracture that can cause Spondylolisthesis. Many small fractures may occur with these activities, and there may be no symptoms of pain at all until the slippage causes this disorder. Once diagnosed with Spondylolisthesis, one should avoid these physical strains that place stress on the spine.

Walking

• For adults with Isthmic Spondylolisthesis, back pain may limit walking long distances. In older patients who suffer from Degenerative Spondylolisthesis, the pain may travel from their lower back into their buttocks and thighs. This can lead to muscle spasms or weakness of the leg. Physical therapy can help to curb this pain, as can anti-inflammatory medications or steroid injections.

Muscle Weakness or Loss of Sensation

• Degenerative Spondylolisthesis is not the result of a simple, one time fracture. Due to the fact that it is caused by the weakening of the spine and vertebrae, the condition may continue to worsen. This can result in compression on the spinal cord, or Stenosis, a narrowing of the spinal canal. These may cause limitations in nerve sensations in extremities, and tingling or numbness in the hands or feet. For this type of disorder, surgery to remove spinal pressure may bring the best results.