MIS Treatment of Spondylolisthesis

FOR IMMEDIATE RELEASE
(Free-Press-Release.com) April 10, 2010 -- MIS Treatment

Vertebral slip

Fracture of the pars interarticularis

Diagnosis and Slip Severity

Important to a proper diagnosis is the patient?s medical history, physical and neurological examination, and imaging studies.

* Medical history includes symptoms, their severity, and treatments already tried.

* Physical and neurological examination includes evaluating movement limitations, balance problems, pain, extremity reflexes, muscle weakness, and sensation. The exam may include a series of movements such as bending sideways, forward and backward at the waist, and walking.
* Imaging studies may include standing x-rays (front/back, side). In addition, if necessary, a CT scan, or MRI is performed.

Using the patient's x-ray, CT scan, or MRI studies, the severity of the slip is graded using the Meyerding Grading System to classify the degree of vertebral slippage....


Grade I: 1-24%
Grade II: 25-49%
Grade III: 50-74%
Grade IV: 75%-99%
Grade V: 100%, spondyloptosis
When MIS is Recommended

Besides the severity of the slip, there are other considerations before surgery is considered. Although the indications for surgery vary, MIS may be recommended if:

* Pain and other symptoms worsen and are unresponsive to nonoperative treatment
* Pain and symptoms significantly affect quality of life
* Neurologic problems develop, such as weakness, numbness, or bowel or bladder dysfunction
* Imaging tests, such as x-ray or MRI demonstrate spinal instability or slip progression

MIS Goals

Surgical goals include:

* Decompress spinal nerves (relieve pressure)
* Stabilize the spine to prevent slip progression and nerve compression

* Correct deformity and restore spinal alignment

Surgery may include combined procedures such as repair of the pars interarticularis, decompression, spinal fusion and instrumentation, and deformity correction.

* Repair of the pars may involve removal of the bone combined with spinal fusion and instrumentation. This is best for children less than 16-years of age.
* Decompression procedures relieve pressure on spinal nerves. Discectomy (disc removal), laminotomy,.....

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