Spinal Retrolisthesis is a relatively uncommon degenerative spinal disc condition that typically occurs in the lower lumbar area. This condition is of particular interest to physical therapists, orthopedic surgeons and chiropractors, who deal daily with patients who may suffer from spinal retrolisthesis. In this article, we will cover what spinal retrolisthesis is, what causes it, and the different treatment options available.
What is Spinal Retrolisthesis?
Spinal retrolisthesis is a backward or posterior displacement of a vertebra and is typically associated with a loss of the regular spinal alignment. It can occur as a result of excessive stress on the spine or with age-related wear and tear. The displacement of the vertebra can cause a narrowing of the spinal canal which can lead to nerve root compression and symptoms of pain and reduced mobility.
Types of Spinal Retrolisthesis
There are two different types of spinal retrolisthesis: complete and partial. A complete retrolisthesis is one where there is direct contact between the vertebrae, and a partial retrolisthesis is one in which there is only partial contact.
Cause of Spinal Retrolisthesis
Spinal retrolisthesis can be caused by a variety of factors. These can include muscle spasms, injury, or wear and tear over time caused by age. It can also be caused by degenerative disc disease or other conditions that lead to a weakening of the spine.
Diagnosis of Spinal Retrolisthesis
Spinal retrolisthesis is typically diagnosed with a physical examination, including a range of motion assessment and other diagnostic tests such as x-rays and MRI scans. These tests can help to distinguish between different types of retrolisthesis and determine the severity.
Treatment Options for Spinal Retrolisthesis
Treatment for spinal retrolisthesis may vary depending on the underlying cause and severity of the condition. Treatment may include physical therapy, bracing, medications, and in more severe cases, surgery. Physical therapy can help to strengthen the muscles of the spine and reduce pain and stiffness. Bracing may be used to reduce stress on the spine by providing additional support. Medications, such as anti-inflammatory medications and muscle relaxants, can be used to reduce pain and inflammation. Lastly, surgery may be used to correct the alignment of the vertebrae and reduce nerve compression.
People Also Ask
What is the prognosis for spinal retrolisthesis?
The prognosis for spinal retrolisthesis is generally positive and the condition can be managed with a combination of physical therapy, medications, and other treatments.
Can spinal retrolisthesis cause numbness?
Yes, spinal retrolisthesis can cause numbness and tingling in the legs and feet due to nerve compression.
Can spinal retrolisthesis be reversed?
Spinal retrolisthesis can be reversed in some cases with physical therapy and other forms of treatment. However, in some cases the retrolisthesis may not be reversible and surgery may be recommended to correct the alignment of the vertebrae.
What are the long term effects of spinal retrolisthesis?
The long term effects of spinal retrolisthesis can include chronic pain and muscle weakness in the affected area. In some cases, spinal retrolisthesis can also lead to nerve damage and reduced mobility.
Can spinal retrolisthesis cause back pain?
Yes, spinal retrolisthesis can cause back pain due to the increased stress on the nerves. Back pain can range from mild to severe depending on the severity of the displacement.
Final Words
Spinal retrolisthesis is a condition that can cause pain and other symptoms due to nerve compression. It is important to seek treatment for this condition as soon as possible in order to prevent further damage to the spine. Physical therapy, bracing, medications and, in some cases, surgery may be used to treat spinal retrolisthesis. Understanding what spinal retrolisthesis is, the causes, diagnosis, and treatment options available can help you to better manage the condition.