Lumbar Isthmic Spondylolisthesis - Part 1 - Imaging and Symptoms
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- เผยแพร่เมื่อ 31 ก.ค. 2024
- #spondylolisthesis #spondylolysis #spinesurgery #parsfracture #thespineguy
Dr. Brian W. Su, MD
Spine Surgeon
Chief Development and Strategy Officer | California Orthopedics and Spine
Medical Director of Spine Surgery | Marin General Hospital
Director | Marin Healthcare District Board
Chairman | Marin Specialty Surgery Center
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Contact two locations:
www.caorthospine.com/
415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
Curriculum Vitae:
www.caorthospine.com/brian-su...
FTC: This video is not sponsored.
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this TH-cam channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.
Please don't stop these videos..very informative 🙏🏽👏🏽
This isn't my issue but it's fascinating..,. Can't imagine how much pain these people must experience. Thanks for making this
These videos are the best in clarity, narration and information I have seen related to this topic. I have spondylolisthesis and sciatica pain and lumbar stenosis, and trying to find solutions before going to surgery/fusion. Thanks for your explanations on this subject.
Ric, I don’t know how old you are and your likelihood of recovering well from a spine surgery, but the older you are, especially past 60, the worse your recovery time will be. I’m 66, and I had to use a walker for a few weeks after surgery and then a walking cane, and now 5 months past my surgery I’m still struggling with continuous pain in my lower back as well as pain down both legs. Another surgery was suggested to me by a surgeon, but I refuse to have more surgery, given what I went through with the first two surgeries. So think again before you have surgery, as there are so many conservative treatments you can get to relieve some of your symptoms.
Thank you for finally making this clear. Thank you for your videos.
Thank you so much for these videos because you're giving me test that I'm trying at home that my pain doctor and orthopedics never ever ever have me do!!
Your videos are so informative and easy to understand. Thank you!
Thank you, Dr. Su for the excellent and very informative video.
Thank you for an informative video! Turns out this is what I have. As a kid and teen I threw discus. I'm getting fusion surgery in a few days. I sent this video to my family so they understand what I've been blathering on about because its confusing to explain. (Hi family!)
Thanks❤
I am a 36 female. I have an isthmic spondylolysis from a birth defect. The bones didn't develop fully as my doctor said. It caused me back pain when I was weight lifting. And a herniated disc later that I had to go through a descectomy for it. My spine is stable, no slipage so far.
Now I'm 6 months post surgery. I feel good. I'm back to the gym. But I'm wandering if I can weight lift again, with precautions of course.
Are you still in Marin? I need a 2nd eval. Great videos!!
i believe I have this.
Thanks so much for this greatly informational series. I have been diagnosed with spondylolisthesis, but haven’t been given much explanation. I’ve gotten two epidural shots to no avail.
is there treatment for this condition? Is surgery the only treatment? How are you doing today?
@@savethedolphinsEgMthis is what the video is there's a couple parts
Hi spine guy I got billateal pars injection one week back back pain has improved but I still have tingling in my legs not sure If its from the pars or stress /tension is there any test or solutions
I have a question I hope you get in contact with me I am legally blind is hard to comunicate this way but: I was diagnosed with DDD and anterolisthesis in the lumbar spine but my neck with onkyDDD. My legs feels unstable but told I can get predinesone. i refused I was send too phisyotheraphy I was inetend to get second opinion I took both MRI for neck and lumbar spineand have neck pain and lumbar instability my legs feels were like walking in carpets sometimes goes awy byut make nervous
Symptoms: Miserable pressure and pain in the lower back that sometimes creeps into the sciatic area/butt and all the way down the legs. At least that's my experience. Last day or so also getting pins and needles feeling from my hips down my legs.
Could you please show a video of the Lumbar Microdecompression without fusion.
That is coming up. Stay tuned.
Need a quick reply
Step deformity occurs in L5- S1 Spondylisthesis due to
a) L4
b)L5
C)S1
Step deformity occurs in L4 and L5 Spondylolisthesis due to
A)L3
B)L4
C)L5
Give reference from where I can read it.
You say the disc rubs out over time, I have a couple of questions based on that statement. 1 does this happen with everyone with this condition?
2 if the disc is wearing away does this mean surgery is only a matter of time?
3 what can be done to prevent/ slow down the the wearing of the disc? 4 does isthmic Spondylolisthesis gets worse as you age?
Discs in general do deteriorate over time particularly in the presence of instability. It doesn't necessarily happen with everybody. The radiographic finding of disc degeneration does not necessarily mean that surgery is necessary because it may not always be symptomatic. The degree of slippage for most patients with isthmic spondylolisthesis does not increase over time. As a disclaimer please consult your spine surgeon.
🔥🔥🔥🔥🔥doctr treetment plzz
Doc, thank you so much for your time and input with this series. Relevant here: What, if any, change is the prognosis of conservative treatment outcome if isthmus spodylolisthesis is in the L4 level compared to what you addressed in L5?
It has very similar outcomes
@DrBrianSuTheSpineGuy Thank you sir!
Hey mate know it’s an old vid but hoping you could get back to me, started with one fracture but eventually both sides got stress fractures and now one side has fully broken off while the other is still partially fractured I was just wondering that if and when my other side becomes broken off to how likely or defiant it is that I experience spondylolithesis. I’m only 15 just wanna get back into sport but am worried that I might be debilitated by this
It sounds like you need to get in front of a surgeon
Plzz❤️
I was diagnosed with Meralgia Paresthetica in my right leg. Can a Grade 2 Spondylolisthesis at L5/S1, and Bilateral Pars defect at L5/S1, and Severe Spinal Stenosis at L5/S1 cause Meralgia Paresthetica?
That is typically caused by compression of the superficial femoral cutaneous nerve. Not the lumbar spine.
@@DrBrianSuTheSpineGuy Does that mean that a Spinal Fusion, and Pars Repair, and Decompression of the nerves at L5/S1 won't fix Meralgia Paresthetica?
Do you recommend any surgeons in Arizona for this injury?
There are several good spine surgeons in that area. Try Dr Paul gause
Awesome teaching skills! I have this condition. Is there an email to contact you?
You can make an appointment by calling California orthopedics and spine and asking for a virtual appointment with Dr Su
Hi can a billateral pars defect without a slip cause nerve pain compression off the s1 nerve
It's possible but usually comes from the l5 nerve
@@DrBrianSuTheSpineGuyI have pain down both calves below the knee is this S1 compression
Did you still seeing patients , it's any way I can ask questions or get you opinion?
You can call California orthopedics and spine for a zoom appointment
@@DrBrianSuTheSpineGuy what's the number to call for a zoom appointment?
Thank you for your videos . Can you please tell me if treatment for Retrolisthesis the same as for Sponylolisthesis ? 😊
I literally just asked about this! ☺️
@@smilesalotc7 oh really did you get an answer ?
Retrolisthesis is typically not something that is symptomatic. Retrolisthesis means that one bone is sitting behind the other. When that happens the vertebral canal opens and does not close down like it does for an anterolisthesis or spondylolisthesis
Do you travel to other cities?
No but you can do a virtual consult by calling California orthopedics and spine
@@DrBrianSuTheSpineGuy thank you…
Can you have a pars fracture with retrolisthesis? And if so what would the difference be, besides going forward, if it was on L5, with the L5-S1.
Retrolisthesis typically does not cause nerve pain because it should not narrow the foramen. As a disclaimer you should always consult your spine surgeon.
Can a pars heal together again? My orthopedist didn’t say if mine was unilateral or bilateral but indicated there was some gray matter forming where the one of the pars had fractured. Also: I used to have nerve pain down to my toes (numbness) but as I’ve rested and done more core and hamstring work the nerve pain and numbness is completely gone. What caused this nerve issue to go away? I still have pain the back however. Is that only from the fracture pain ? Does it typically heal and that lumbar pain dissipates?
A pars defect can heal on its own if it is an acute injury and it is in a younger person. Typically in an adult that type of fracture happened when you were younger and it is unlikely to heal. The nerve pain could be coming from compression of the nerve by the fracture as seen in the video. as a disclaimer please consult your spine surgeon.
Where’s your location?
California orthopedics and spine
@@DrBrianSuTheSpineGuy I wish you were here on the east coast so I can get a second opinion from you, as you seem to be an excellent “spine guy.”
How can I get an online appointment with you for a second opinion?
you have this problem but have you had surgery yet?
No because I don't have pain that limits me