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When Is Surgery Needed for Spondylolysis and Spondylolisthesis?
Published: Sep 27, 2023
Not every case of spondylolysis or spondylolisthesis requires surgery. Discover when surgical intervention becomes necessary.
When to Consider Surgery
Surgery is usually considered when conservative treatments fail to alleviate pain or prevent progression. Indications include significant vertebral slippage or persistent pain that does not improve with rest and physical therapy. Severe cases, like those with neurological deficits, require immediate surgical consultation.
Types of Surgical Procedures
Spinal fusion is a common procedure for stabilizing the spine. It involves joining two or more vertebrae to prevent further slippage. In some cases, decompression surgery might be necessary to relieve pressure on nerves, especially if there are signs of nerve compression like numbness or weakness.
Post-Surgery Recovery
Recovery from spinal surgery can take several months. It typically involves physical therapy to restore strength and flexibility. Surgeons usually recommend a gradual return to activities, ensuring the spine heals properly and reducing the risk of future injuries.
Frequently Asked Questions
It's needed when pain persists despite conservative treatment.
A procedure that stabilizes the spine by joining vertebrae.
Recovery can take several months with physical therapy.
Final Thoughts
Surgery is a last resort for spondylolysis and spondylolisthesis, used only when other treatments fail.
References
- Sairyo K, Sakai T, Yasui N, Dezawa A. Conservative treatment for pediatric lumbar spondylolysis to achieve bone healing using a hard brace: what type and how long?: Clinical article. J Neurosurg Spine 2012; 16:610.
- Gunzburg R, Fraser RD. Stress fracture of the lumbar pedicle. Case reports of 'pediculolysis' and review of the literature. Spine (Phila Pa 1976) 1991; 16:185.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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