When Is Surgery Needed for Spondylolysis and Spondylolisthesis?

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

Key Takeaways

Surgery is a last resort for spondylolysis and spondylolisthesis, used only when other treatments fail.

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