Spine Conference Lecture: Spondylolisthesis

[@cindyb1635]

I just wanted to thank you for putting your lectures on KZbin. I am a tax accountant by training but have been having severe back trouble and extreme pain. Since I left my doctor's office more confused than when I went in I made it a point to understand the reports myself. MRIs especially. Even though the problems I have haven't been covered yet I have learned a lot. Thanks for posting!

[@cindyb1635]

I just wanted to thank you for putting your lectures on KZbin. I am a tax accountant by training and trade but have been having severe back trouble and extreme pain. Since I left my doctor's office more confused than when I went in I made it a point to understand the reports myself. MRIs especially. I recently read that Spondylosis is the same as degenerative disc disease which is what I have. Your lectures are interesting and I have learned a lot. Thanks for posting!

[@skibitom]

I just wanted to thank you for putting your lectures on KZbin. Thanks for posting!

[@zachreynolds69]

Perhaps the most coherent discussion focused on Spondy I have found yet. Thank You! I've arrested a grade 1 condition for close to 10 years now and through weight loss, constant stretching and (unfortunately) pain endurance I continue to slog onwards. Physical Therapy helped me greatly when I initially discovered my condition via a painful episode following competitive racquetball play (of which I sadly had to give up) and still searching for pain relief. Is there a back surgery actually specifically developed for Spondy? It seems to me that from a simplistic perspective the condition is a "mechanical" pars break / flaw leading to slippage and the most appropriate approach is a "mechanical" fix (IE - surgery). My layman's sense after several MRI's and consults has me thinking that the current "fusion" techniques are broadly applied (perhaps misapplied) in cases of Spondy when appearances suggest they were not specifically developed to treat Spondy exclusively.

[@spineconference]

Thanks for your comments. The typical surgery is a fusion. It seems you are doing well with non-operative measures. Keep up the good work!

[@durgamanand8328]

thanks for this wonderful lecture.

[@spineconference]

you're welcome.

[@gchord77]

I really enjoyed your presentation that has been even more helpful to me. I am a former Offensive Lineman and have the dreaded condition which is giving me fits (Legs/Feet)! I don't want the surgery but I am suffering greatly and as a Civil Engineer I have great concern for loading changes to the upper spine components by having this procedure. Have you encountered patients with upper column issues after having this repair?

[@spineconference]

Yes I have. It's not clear that adjacent level deterioration is related to the surgery or is a result of the natural history of the disease process. Another way to explain it is that some patients keep returning with further deterioration of more levels years later. They never had surgery but the disease process continues. A fusion may cause adjacent level deterioration of more levels as well.

[@spineconference]

Thanks fo rthe kind words.

[@samigrane]

Thank you Spiro, good stuff Sami, osteopath