The degree of slippage alone does not determine the need for surgery.
Symptoms.
It can cause lower back pain, leg pain, or difficulty standing and walking. The impact varies from person to person.
The assessment.
X-rays show the slippage. Motion X-rays can look for instability. MRI studies the nerves; a CT scan is sometimes useful to analyze the bone.
Treatments.
Rehabilitation and pain management can improve symptoms without correcting the slippage. An injection may be considered in certain situations.
When to discuss surgery?
Persistent discomfort despite appropriate treatment or neurological involvement may lead to consideration of surgery. The choice between decompression and stabilization depends on the type of spondylolisthesis, the instability, and the symptoms.
Post-operative care and limitations.
When arthrodesis is chosen, it aims to fuse the affected vertebrae. Follow-up takes into account the consolidation. Risks include infection, nerve damage, and failure of fusion.
When should I consult an emergency patient?
Recent loss of strength, numbness in the perineum, or new urinary or bowel control problems require urgent evaluation. Call 15 or the 112 : do not wait for a scheduled appointment.
Your questions.
What should I bring to the appointment?+
Your current and past examinations, if you have them, help to review your medical history. Also bring reports and information on treatments tried.
Can I have a proposed spinal fusion reassessed?+
Yes. Second opinion consultations allow us to discuss the indication and alternatives based on your file.