Does grade 2 spondylolisthesis require surgery?
Low-grade (Grade I and Grade II) typically don’t require surgery. Low grade cases are usually seen in adolescents with isthmic spondylolisthesis and in almost all cases of degenerative spondylolisthesis. High-grade (Grade III and Grade IV) may require surgery if you’re in a lot of pain.
Can grade 2 spondylolisthesis be reversed?
Spondylolisthesis up to grade 2 may be reduced or corrected when using structural spinal rehabilitation.
What is the best treatment for lumbar spondylolisthesis?
Spondylolisthesis Treatment
- Medications. Pain medications, such as acetaminophen, and/or NSAID’s (e.g. ibuprofen, COX-2 inhibitors) or oral steroids to reduce inflammation in the area.
- Heat and/or ice application.
- Physical Therapy.
- Manual manipulation.
- Epidural steroid Injections.
- Spondylolisthesis Surgery.
Can spondylolisthesis be fixed?
The goal of surgery to treat spondylolisthesis is to eliminate pain and relieve the pressure from a pinched nerve. Surgical treatments used to correct spondylolisthesis include Pars repair, spinal decompression, or spinal fusion.
How is grade 2 spondylolisthesis treated?
XLIF is safe and effective for the treatment of grade 2 spondylolisthesis at L4-5. The use of this technique results in marked clinical and radiographic improvement which is maintained over time. The use of real-time neurologic monitoring and careful attention to technique are mandatory.
What is Grade I spondylolisthesis?
Grade I spondylolisthesis is 1 to 25\% slippage, grade II is up to 50\% slippage, grade III is up to 75\% slippage, and grade IV is 76-100\% slippage. If there is more than 100\% slippage, it is known as spondyloptosis or grade V spondylolisthesis.
How is Grade 3 spondylolisthesis treated?
For patients with a grade 3 or grade 4 spondylolisthesis, as well as for patients with severe pain and inability to function, who have not gotten better after at least 3 to 6 months of nonsurgical treatment, a spinal fusion surgery may be a reasonable option.
Does Prolotherapy work for spondylolisthesis?
Prolotherapy is an excellent treatment for spondylolisthesis because it strengthens the ligaments surrounding the slipped vertebrae causing proper alignment to be restored. Prolotherapy is given to the ligaments on the back of the spine.