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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Spondylolysis Of L4 With Grade 1-2 Spondylolisthesis Mean?

I had a recent x ray and they told me I have a suggestion of spondylolysis of L4 with grade 1-2 spondylolisthesis. They gave me no more information regarding that prognosis and I do not have the time to figure out what that is exactly and how to fix it. All I know is I am in alot of pain and have been for over a month and don t know what to do about it!! Please help
Fri, 17 Feb 2017
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Pain Medicine & Palliative Care Specialist 's  Response
Spondylosis is a general finding of Xray Spine and is many times not related to your pain at all. Although, Listhesis of Grade1-2 can cause pain depending upon the compression of neural canal structures of your back. It happens when your spine undergoes some trauma and causes one bone to slip over another, causing pain. If you are suffering from brittle bones (osteoporosis), then it may occur in absence of any trauma. You need some antiinflammatory medications, along with strengthening of abdominal muscles (remember, extension exercises of spine are contraindicated in listhesis, and should be avoided to prevent further worsening). If conservative method fails, a surgery to fix the affected segments might be needed.
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What Does Spondylolysis Of L4 With Grade 1-2 Spondylolisthesis Mean?

Spondylosis is a general finding of Xray Spine and is many times not related to your pain at all. Although, Listhesis of Grade1-2 can cause pain depending upon the compression of neural canal structures of your back. It happens when your spine undergoes some trauma and causes one bone to slip over another, causing pain. If you are suffering from brittle bones (osteoporosis), then it may occur in absence of any trauma. You need some antiinflammatory medications, along with strengthening of abdominal muscles (remember, extension exercises of spine are contraindicated in listhesis, and should be avoided to prevent further worsening). If conservative method fails, a surgery to fix the affected segments might be needed.