Spondylolisthesis

Normally, the spinal column forms a homogenous, slight S-curve, to which all components adapt. In the case of the so-called spondylolisthesis, one or more vertebrae slip out of its normal position. This instability can have a number of causes: Thus, on the one side, congenital deformations of the spinal column can displace vertebrae from their usual position. On the other side, gradual changes such as wear, bone degeneration or previous fracture can lead to spondylolisthesis. Well-formed discs, muscles and sinews slow down the displacement, since they provide additional support.

ImageBasically, four degrees of severity can be distinguished (categorization according to Meyerding):

  • Degree I: less than 25% displaced

  • Degree II: 25 to 50%

  • Degree III: 51 to 75 %

  • Degree IV: more than 75% displaced

Symptoms: The development from degree I to degree IV usually takes place subtly. While you can barely spot problems in the first two degrees, in the advanced stage there is lasting pain and burden pain. If the displacement causes the nerve fibers to jam, other parts of the body may have pain. You often also notice prickling, sensation of numbness, weakness, etc.

Therapy: Usually, conservative methods suffice to treat spondylolisthesis. Aside from the treatment of pain, we also intend for a stabilization of the spinal column. In the context of a physiotherapeutic treatment, we either strengthen the musculature or you get to wear a corset provisorily to keep the back in the correct shape.

If these methods do not produce any effect or if there already are failures, we aim for a lasting stabilization of the respective vertebral segments by means of the so-called spondylodesis.

Through this method, not only do we stabilize the joint, but also eliminate the accrued constrictions and set the jammed nerves free.