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and the degree of spinal instability

Excessive motion of vertebral bodies in relation to one another is considered spinal instability.

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Spinal Instability and Spinal Fusion Surgery: …

One of the complications in diagnosing a Trapped Nerve is that whilst the apparent pain or problem may manifest itself in one part of the body, the actual cause of the problem can lie in a different part of the spinal region. For this reason, medical professionals pay close attention to the symptoms as a first step in evaluating what the problem may be, before moving on to more focused diagnostic procedures such as MRI scans but these can be misleading – hence the need for aware state diagnosis.

Spondylolisthesis is an abnormal condition in which there is instability in the spinal column, ..

If pain is not alleviated with conservative treatment or in cases where instability results in significant compression of the spinal cord or spinal nerves, surgery is generally recommended. Although the specifics of surgery are individualized based on a given patient’s findings, generally surgical fusion is recommended. A fusion means that one spinal bone (vertebra) becomes united with the next, taking away the motion at that specific segment. This eliminates the excessive motion that led to the symptoms of pain or nerve impingement. There are some surgical options to limit motion without complete fusion but these are not available for many cases of instability. Your surgeon will discuss all the options pertinent to your specific case. Depending on the level of nerve or spinal cord compression, a may also need to be performed at the time of surgery.

Lumbar Spinal Stenosis - OrthoInfo - AAOS

Spinal instability has its greatest etiology from the intervertebral disc itself

Spondylolisthesis is a condition of spinal instability, in which one vertebra slips forward over the vertebra below; isthmic spondylolisthesis, the most common form, is caused by a bony defect (or fracture) in an area of the pars interarticularis, located in the roof (laminae) of the vertebral structure. Treatment options for isthmic spondylolisthesis may be non-surgical

Excessive motion of vertebral bodies in relation to one another is considered spinal instability. Some motion is, of course, normal. Motion can be described as instability when the motion is significantly greater than that at adjacent levels. Spinal instability can be the result of an injury, degenerative process, tumor, previous surgery or congenital condition. Symptoms of spinal instability may include neck or back pain, nerve pain and muscle spasms.

Spondylolysis and spondylolisthesis - Mayfield Clinic

Learn how spinal instability and spinal stability are applicable to far more than the domain of Pilates and core strengthening.

Teng is the Director of Cascade Spine Center

Cervical / Thoracic / Lumbar Spine Problems
Complex Spine Problems
Degenerative Disc Disease
Disc Herniations
Spinal Infections
Spinal Instability
Spinal Spondylolisthesis
Spinal Spondylolysis
Spinal Spondylosis / Osteoarthritis / Degeneration
Spinal Stenosis
Trauma / Fractures / Neck & Back Injuries
Vertebral Compression/Burst Fractures

Cervical / Thoracic / Lumbar Spine Surgery
Cervical Disc Replacement/Arthroplasty
Discectomy, Vertebral Corpectomy
Foraminotomy / Microforaminotomy
Fusion / Spinal Hardware Instrumentation
Integrated Spacers/Cages
Interbody Fusions (ALIF / PLIF / TLIF)
Interspinous Stabilization
Laminectomy / Laminotomy / Laminoplasty
Lateral Access Interbody Fusions
Microscope Assisted Surgery
Minimally Invasive Surgery
Motion Sparing Surgery
Spinal Cord Stimulator - Permanent placement
Transforaminal Epidural Steroid Injection (TFESI/NRB)

If slippage continues or if your pain doesn’t respond to conservative treatment, surgery may be necessary. Surgery can address both the instability of the spine and compression of the nerve roots. The surgeon may first perform a lumbar laminectomy to relieve pressure on the nerve root. Then a bone graft will be used to fuse the loose vertebrae and keep them from sliding out of place. In some cases metal plates, hooks, rods and screws may be used to support the fusion (Fig. 5). It may take a while for the two pieces of bone to grow together, so you should avoid extremes of motion while healing.

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  • Spinal Surgery: Laminectomy and Fusion - Medical …

    Spinal fusion is sometimes considered in the treatment of a painful spinal condition without clear instability.

  • Spondylolysis and Spondylolisthesis - OrthoInfo - AAOS

    Spondylolisthesis is a condition of spinal instability, in which one vertebra slips forward over the vertebra below

  • Lumbar Spinal Stenosis - Spine - Orthobullets

    Likewise, patients needing surgery for spinal instability due to spondylolisthesis typically require lumbar fusion.

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