Tagged: Spondylolilthesis Grade 4
BryanBParticipantOctober 8, 2020 at 8:59 amPost count: 5
My 20 year old daughter was just diagnosed with a Grade 4 Spondylolisthesis -almost Spondyloptosis at L5-S1. The vertebre is almost totally off. Our local Orth doctors in Ft Wayne IN are unable to help here and say the condition is so rare that no one specializes in it. She has low back pain and small numbness in right ankle. we are at loss on how to deal with this and are looking for a surgeon that has seen this or operated on it before. Do you know how we should proceed or of any places in the US who can help? She has recent xray and getting a new MRI next week. Any direction or suggestions would be very appreciated as we do not know who to contact.
BryanDonald Corenman, MD, DCModeratorOctober 8, 2020 at 10:55 amPost count: 8460
This is a specialized surgery that a small group of surgeons repair. I have stopped doing surgery on greater than 50% slip. Call my office and I’ll give you information on the most accomplished surgeons who currently perform this procedure.
Dr. CorenmanBryanBParticipantOctober 9, 2020 at 12:57 pmPost count: 5
Thank you so much for your response. I have called and left a message on your office voicemail with my cell phone number. I look forward to talking to you.BryanBParticipantMay 11, 2021 at 2:11 pmPost count: 5
Hello Dr. Corenman
It has been 7 months since my last message to you and we now have a surgery scheduled with Dr Frank Phillips at Midwest Orthopeadics at Rush in Chicago for end of June 2021. He is going to do a 2 level spine fusion from the back of L4-L5-S1. He said not likely to pull it all the way back but looking to stabilize the spine and clear out the nerve root that is causing my daughter pain. We are very nervous about this operation but realize it is necessary. Just wanted to ask you if you have heard of Dr Phillips or Midwest Ortho in Chicago – any professional insight? and also ask why you stopped doing Spondylolisthesis surgery on slips greater than 50%? Did you have a lot of problems with the outcomes of high grade slips surgery? Any insight is appreciated.
BryanBDonald Corenman, MD, DCModeratorMay 18, 2021 at 3:00 pmPost count: 8460
Dr. Philips has been around for some time and I’m sure he is capable. Spondylolisthesis grade 4 is the slipped vertebra almost falling off the sacrum into the pelvis. Pulling the slip back partially makes some sense as the farther you pull the vertebra back, the more you stretch the L5 nerve root. Reducing the slip to 50% and fusing it there is safe in general.
Dr. CorenmanBryanBParticipantJuly 26, 2021 at 1:20 pmPost count: 5
My daughter had the surgery on 6/30 and is currently about 4 weeks out. Dr Frank performed the 8 hour operation at Rush University Hospital in Chicago. First week in hospital was rough but she is doing better and moving around in a brace. They were able to pull the slip back 75% and fuse L4-L5 and L5-S1. SHe does have a little numbness in her left leg and slightly week big toe on left foot but overall, no other issues and nerve pain is gone. In case anyone needs a spondylolisthesis surgeon or has a deformity issue.
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