Spine Treatment & Neurosurgery

Spondylolisthesis

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Senior Neurosurgeon & Spine Specialist
Dr. Dilip S. Kiyawat, Leading Spine & Neurosurgeon in the Field of SPONDYLOLISTHESIS

SPONDYLOLISTHESIS

Spondylolisthesis is a spinal condition where one vertebra slips forward or backward in relation to the vertebra below it. This displacement most commonly occurs in the lower spine and is often caused by degenerative changes, congenital defects, or stress fractures. Symptoms may include lower back pain, stiffness, and nerve compression symptoms like leg pain or weakness. Diagnosis involves imaging studies such as X-rays, CT Scan, and MRI.

VERTEBRAL SLIPPAGE CORRECTION & SPINAL FUSION

Restoring spinal alignment, decompressing neural pathways, and achieving permanent segmental stability

Causes

Some individuals may have a genetic predisposition to spondylolisthesis due to a defect in the vertebrae present at birth.

Symptoms

In severe cases, there may be numbness or weakness in the legs.

Treatment

Exercises to strengthen the core muscles and improve flexibility. Surgical Correction & Stabilization is necessary where symptoms persist.

Rehabilitation

Adopting spine-friendly habits and avoiding activities that may contribute to further slippage.

Etiology & Clinical Management

Spondylolisthesis

Detailed clinical aspects and diagnostic pathways:

Trauma

A fracture in the pars interarticularis (a small bony segment in the posterior part of the spine) can result in spondylolisthesis.

Imaging Studies

X-rays, CT scans, or MRI may be used to visualize the spine and determine the extent of slippage.

Back Pain, Leg Pain & Muscle Tightness

Persistent lower back pain is a common symptom. Radiating pain into the buttocks and thighs may occur. Tightness or stiffness in the hamstrings.

Decompression and Fusion

Removal of damaged disc material and stabilization of the spine through fusion.

Clinical Case & Surgical Imaging

Radiological Findings & Operative Fixation

Authentic pre-operative and post-operative records from Dr. Dilip Kiyawat's spinal stabilization cases:

Spondylolisthesis AT L5-S1 LEVEL DUE TO FRACTURE Zoom
Pre-Operative Radiograph

Spondylolisthesis AT L5-S1 LEVEL DUE TO FRACTURE

Lateral lumbosacral view illustrating anterior displacement of the L5 vertebra over S1 caused by bilateral pars interarticularis fractures.

cORRECTION OF Spondylolisthesis BY sURGICAL sTABILIZATION Zoom
Post-Operative Realignment

cORRECTION OF Spondylolisthesis BY sURGICAL sTABILIZATION

Complete surgical reduction and rigid stabilization utilizing titanium pedicle screw instrumentation, interbody cage, and bone fusion.

Spondylolisthesis Progression Zoom
Progressive Slip

Dynamic Instability Assessment

Serial imaging demonstrating progressive slip excursion, leading to severe neurogenic claudication and radiculopathy.

spondylolisthesis Zoom
Clinical Anatomy

Pathology of Vertebral Displacement

Detailed overview showing the shearing forces on the intervertebral disc and the mechanism of central/foraminal nerve entrapment.

Understanding Spondylolisthesis Grades & Treatment

Meyerding Classification Grade I (0-25%), Grade II (25-50%), Grade III (50-75%), Grade IV (75-100%), and Spondyloptosis (>100% slip).
Surgical Decompression Targeted laminectomy and facetectomy relieving direct pressure from compressed L5 and S1 nerve roots.
Pedicle Screw Instrumentation Titanium screw-rod construct provides immediate biomechanical rigidity while promoting permanent bony fusion.
Interbody Fusion (TLIF / PLIF) Placement of interbody fusion cage packed with bone graft restores disc height and preserves foraminal volume.

For consultation and appointment booking, you can reach Dr. Dilip Kiyawat at

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