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Answer to your Health Question

Question (07/29/2011):

Title: Isthmic spondylolisthesis grade one .

Will Isthmic spondylolisthesis ever heal if it is a grade one?

Matt

Answer:

Dear Matt,

It depends on the severity.

If the bone does not press any nerve you may never have a recurrence of back pain.

Treatment for grade one spondylolisthesis includes staying away from all strenuous activity until the pain and muscle spasm subside.

X-rays should be repeated every 4-6 months to rule out successive slippage.

Sometimes the use of orthosis may be an indicated treatment.

Conservative treatment for grade I spondylolisthesis is successful in 80 percent of cases.

Spinal fusion surgery is performed in cases with nerve root irritation, significant slippage (grade III and higher) and progression of the slip.

It is not allowed contact sports, skiing or gymnastics after the surgery.


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