Lytic Spondylolisthesis Treatment
Once we have diagnosed that you have a lytic spondylolisthesis 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 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 that can be performed as a day case procedure may be appropriate and can relieve some of the acute pain.
For patients whose pain does not settle with conservative treatment, surgery may be necessary. The procedure will differ depending on the severity of the condition. For patients who do not have any slippage, surgery may involve directly repairing the stress fracture with a screw and bone graft.
Patients where slippage (spondylolisthesis) occurs resulting in nerve pain (sciatica), surgery needs to address the sciatica as well as the instability of the spine. The nature of spinal surgery is not to ‘cure’ a condition but is aimed to provide benefit with a good percentage improvement and relief of symptoms. Good relief from back and leg symptoms following surgery usually occur in approximately 70% of cases. This is not necessarily felt immediately but over a period of time (often several months).