Spondylolisthesis is the translational displacement, or “slip,” of one of the bones of the spine, called the vertebral body or vertebra in relation to the vertebra below. This condition can causes back pain, a tightening of the hamstrings, and shooting pain in the buttock that travel downward into the legs. Symptoms may also include tingling and numbness and a forward leaning posture. Sitting and trying to stand up may be painful and difficult. An increase in activity level will often cause the individual to experience increased pain levels in the day(s) following the activity due to inflammation. Pain is often alleviated with reduced activity and/or rest.
Conservative treatment for Spondylolisthesis usually includes activity modification, anti- inflammatory medication and physical therapy. In cases of severe leg pain, epidural steroid injections, performed under fluoroscopic guidance, may be effective.
Spinal fusion surgery may be an option in severe cases that have failed more conservative treatments. The back pain and leg pain is relieved by a spinal decompression and fusion by removing the pressure on the nerves and restoring stability to the spine. Spinal fusions at ONS are often done minimally invasively to promote a quicker recovery with minimally damage to the surrounding tissues.