It's estimated that as many as 3 million cases of spondylolisthesis are diagnosed every year in the United States. At Indiana Spine Center, serving the communities of Lafayette, Crawfordsville, Rensselaer, Logansport, and surrounding areas, we bring a combination of innovative, advanced, and specialized care to help get our patients back on their feet--and back in the game--as soon as possible.
Spondylolisthesis happens when a spinal bone (called a vertebra) slips forward onto the bone beneath it. If the vertebral bone slips far enough out of place, it can place pressure on surrounding discs, nerves, muscles, and other tissues. This can lead to a variety of symptoms including lower back pain that is worse with activity and better with rest; back stiffness; muscle spasms; buttocks and leg pain that is worse in standing; numbness and tingling in the legs and feet; and hamstring tightness or tenderness.
Spondylolisthesis often happens due to trauma, degenerative conditions, and overuse injury. It typically occurs in the lower back but can happen anywhere in the spine. It most often presents in younger active people, including weightlifters, football players, rowers, and gymnasts.
Frequently, spondylolisthesis is preceded by a similar but different condition called spondylolysis. In spondylolysis, a vertebral bone sustains a stress fracture, often due to similar trauma or overuse patterns. If left untreated, the stress fracture can cause the bone to become so weak that it slips out of place, leading to spondylolisthesis.
Spondylolisthesis does not always cause pain. Even severe forward bone slippage does not always present with symptoms, and may only be discovered after an x-ray is performed for some other condition. Spondylolisthesis may also be diagnosed through CT scans and physical examinations. MRI scans may also be helpful to determine if vertebral discs and other soft tissue structures are damaged as a result of the bone slippage.
At Indiana Spine Center, we work with many people diagnosed with spondylolisthesis. Our treatment approach includes non-surgical techniques—rest, chiropractic care, medication, back bracing, and spinal rehabililtation—to promote tissue healing and reduce symptoms. In cases with severe or worsening bone slipping, or for people with symptoms that do not improve after non-surgical treatment, a lumbar spinal fusion may be the most appropriate approach.
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Dr. Brkaric takes the necessary time to listen to his patients concerns, explain diagnostics, and treatment recommendations.
I have recommended Dr. Brkaric to many of my friends and family members and will continue to do so.
Dr. Gorup always explains everything in depth, the truth and what to expect. His bed side manner is excellent. And he has a great sense of humor.
Dr. Gorup is an excellent and caring doctor, not only to the patient but also their family. Skilled surgeon. Provides all the options. Answers all your questions.