Once we have diagnosed that you have a degenerative spondylolisthesis with associated spinal canal stenosis, we use various treatment methods, depending on the severity and the symptoms. Our consultants and therapists will develop an individual treatment plan for you.
If the slippage and the narrowing of the vertebral canal is not yet very advanced, conservative measures such as physiotherapy can often help. The goal of our treatment programme is to relieve your pain significantly and improve your quality of life.
In some cases, spinal injections, performed as a day case procedure, may be appropriate and can relieve some of the acute pain.
In many cases most conservative treatments (e.g. manipulation, physiotherapy, medication or injections) are unlikely to be of much long-term benefit, and the symptoms rarely improve permanently without surgery to take the pressure off the nerves (decompression). A stabilisation procedure of the spine may also be required.
The objective of surgery is to remove the material that causes the compression/stenosis and to give the nerve roots and/or cauda equina more room. Your surgeon will decide whether there is a need to stabilise the spine by using an internal implant system. Sometimes extensive decompression surgery can further weaken the spine’s stability, so the exact extent of surgery can only be decided during the procedure.