alexandraParticipantDecember 25, 2014 at 12:07 amPost count: 4
Dear doctor I have spondylolisthesis l5 s1 grade 1. Can it still be fixed with prolotherapy, stem cells etc, I am terrified of fusions, I am told they cause more complications than good. I would like to get pregnant, would my spondilolisthesis progress because of pregnancy? Thank you for taking the time to read my message and for the wonderful work you do.Donald Corenman, MD, DCModeratorDecember 30, 2014 at 9:40 pmPost count: 8409
I assume you have an isthmic spondylolisthesis of L5-S1 (the most common for this level) and not a degenerative spondylolisthesis. There is no injection that will repair the fracture of the pars with a slip. I would agree that there are more potential complications especially since there is no good that can occur with these injections at this point.
It is possible but unlikely that this slip will progress with pregnancy. I don’t think you have to worry about that.
Fusions in my hands have about a 90% satisfaction rate (yes to the question “would you do this surgery again if you had to do this all over again). Do not be afraid of fusion in the right hands.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.alexandraParticipantDecember 30, 2014 at 10:28 pmPost count: 4
Dear dr. Coremman,
Thank you for taking the time to answer my question. I am not surre how to answer your questions. One of my family members had spondylosis, (older relative) if that contributed to my spondylolisthesis I am not surre. I can remembre a day when I bent forward, felt my back crack, had a sharp pain and paid no atention to it. Ever since the diagnosis, I feel (if I move in a certain way), muscle spasms, they come unexpectedly which terrifies me because they make me almost fall. It is not the pain that terrifies me but the sudden spasms.
As far as the fusion is concerned, one of my friends had a fusion when she was 40 and another now at 70. I guess it just makes me feel uneasy to have screws and rods in my back. Would it still be advisable to do a fusion for isthmic spondylolisthesis grade 1?
Can people with spondylolisthesis have a normal birth and have an epidural? How close are we from stem cell treatments for spondy?
Another thing that happens with me is my back jets very stiff if I walk for more than 2 hours which really upsets me because I am a very ative person. Would pilates and yoga stop the spasms?
Thank you once again for taking the time to read my message.
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