PLEASE CLICK HERE FOR AN IMPORTANT MESSAGE REGARDING COVID-19     Spondylolisthesis The Spine Institute Herniated/Ruptured Disc Neck & Back Pain Lumbar Radiculopathy/Sciatica (Leg Pain) Cervical Radiculopathy (Arm Pain) Spinal Stenosis & Myelopathy Degenerative Disc Disease Spondylolisthesis Low Back Pain Pain Management Minimally Invasive Surgery Sacroiliac Joint Pain Overview Spondylolisthesis is the medical term used to describe the forward slippage of one spine bone on another. Spondylolisthesis is a common condition to require surgery. Fortunately, the results are usually very good. Children with spondylolysis/spondylolisthesis rarely require surgery unless the slippage is severe. Spondylolisthesis Diagnosis The diagnosis of spondylolysis and/or spondylolisthesis may be suspected, particularly if the aforementioned physical findings are present. An X-ray or CT scan is required to confirm the diagnosis, as well as to grade the severity of the condition. Treatment Options The treatment of adult patients with spondylolisthesis depends on the severity of the pain, nerve compression and slippage. Some patients are recommended for conservative treatment initially unless there is a severe neurologic deficit such as leg weakness and numbness. Physical therapy and oral medications are frequently prescribed. Epidural steroid injections and/or nerve root blocks may also be utilized for severe pain or moderate pain that is no longer responding to other conservative measures. Patients who do not benefit from these conservative measures are usually candidates for surgical intervention. The recommended surgery for adults with spondylolysis and/or spondylolisthesis who have failed nonoperative measures is spinal fusion. The goal of surgery is to stabilize the levels of the spine that are “slipping” by placing bone graft and metal rods and screws. Adult patients with significant stenosis generally require laminectomy and decompression, whereas children do not. The instrumentation fixes and holds the bones in place immediately, while the bone graft fuses the unstable spine bones together. After the fusion surgery is performed, it takes approximately three to eight months for the bones to solidly mend together. Anterior Lumbar Interbody Fusion (with bone graft and pedicle screws) Watch Video XLIF® Lateral Lumbar Interbody Fusion Watch Video Minimally-Invasive TLIF (Transforaminal Lumbar Interbody Fusion) Watch Video Our Doctors & Mid-Level Providers Raphael R. Roybal, M.D. Minimally Invasive Spinal Surgery D'Mitri Sofianos, M.D. Minimally Invasive Spinal Surgery Evan M. Siegall, M.D. Pediatric Orthopaedics; Scoliosis Gregory Spellman, M.D. Pain Management Malissa Nix, PA-C, ATC Salaethia Crawford, MSN, FNP-C Sarah Mcilwain, MSPAS, PA-C Miranda Garcia, PA-C Savannah Locations Chatham Orthopaedic Associates (912) 355-6615|Get Directions ExpressOrtho Savannah (912) 355-3776|Get Directions Chatham Sports Medicine & Physical Therapy (912) 354-5100|Get Directions SouthCoast Health Office (912) 355-6615|Get Directions Effingham Location Effingham Orthopaedics in Rincon (912) 826-3111|Get Directions Effingham Orthopaedics – Pain Management (912) 826-3111|Get Directions Richmond Hill Location Chatham Orthopaedic Associates Richmond Hill (912) 445-5904|Get Directions Pooler Location Chatham Orthopaedic Associates Pooler (912) 450-1101|Get Directions ExpressOrtho Pooler (912) 355-3776|Get Directions Quick Links About Services Our Doctors Patient Information Patient Portal Pay Online Health Resources Locations Contact Join Our Team © 2021 Chatham Orthopaedic Associates | Privacy | HIPAA Notice of Privacy Practices | Website Developed by Robmark Web