Spondylolisthesis Treatment

Spondylolisthesis Treatment is given based on the grades of the slip. Grade 1 and a pair of can be managed conservatively, while grade 3 and 4 require surgical intervention.
Spondylolisthesis Treatment methods are given with the try to achieve maximum correction from the exaggerated lordosis and then keep up with the correction.
Spondylolisthesis 
 Spondylolisthesis is really a condition in which the affected vertebra slips around the adjacent vertebra below it. It's very commonly seen at L5 and S1 vertebra level.
It's more commonly seen in females than males. Probably the most probable cause is a result of congenital abnormality within the development of the neural arch. The pain sensation usually starts after a personal injury and the symptoms are rare before adolescence.

Clinical options that come with Spondylolisthesis
Patient complains of low backache, that is worst after some activity and it is relieved by rest. The pain sensation may radiate right down to one or both legs.
A depression sometimes appears above the 5th lumbar vertebra.
There might be some associated neurological symptoms within the lower limb.
There's exaggeration of lumbar lordosis.
The movements of spine are grossly not limited.
Classification of slip
Slip in Spondylolisthesis is measured by measuring the anterior slip of vertebral body. Meyerding classified the put on 4 grades:-
Grade 1- slip from 0-25% upto 1/4 length
Grade 2- slip from 25-50% upto 1/2 length
Grade 3- slip from 50-75% upto 3/4 length
Grade 4- slip a lot more than 75%
Fillard discovered a formula for calculation from the percentage of slip-
Percent slip= The displacement of L5 over S1/Width of S1

Spondylolisthesis Treatment
Treatment methods are given according to the grades from the slip. Grade 1 and a pair of can be managed conservatively, while grade 3 and 4 require surgical intervention.
Spondylolisthesis Treatment methods are given with the try to achieve maximum correction from the exaggerated lordosis and then keep up with the correction.

Conservative Management usually includes Physiotherapy
1. Some heat modality like SWD(Short wave diatheramy) is offered for pain relief.
2.Spondylolisthesis Exercises to fix the deformity-

Exercises to induce relaxation receive
Strong abdominal exercises receive for abdominal muscles
Flexion exercises for that spine, for example: looking at a chair with back resting, then gradually bending a corner forward from the lower back
Active posterior tilting is tought towards the patient to compensate the exaggerated lumbar lordosis.
3.The individual is given guidelines for correction of posture and it is maintenance.
4.Stretching of hamstrings is performed at regular intervals.
5.Patient is adviced to lie vulnerable to control the growth of lordosis.
6.A thoraco-lumbar-sacral orthoses is offered to prevent the lordosis. The brace needs to be worn continuously.
In spondylolisthesis surgical treatment is indicated when you will find neurological symptoms, slip is progressing or maybe the pain is very intense.
Spinal fusion is performed with or without the decrease in slip, postero-lateral fusion is extremely common. Spinal fusion prevents further advancement of the slip. The spine might be internally stabilized with the aid of rods and plates.

Physiotherapy Management after Surgery
During Immobilization
Breathing exercises
Early ankle, foot and arm movements will also be encouraged
Assisted movements to knee joints receive
Isometric exercises of gluteal muscles
Gradually hip flexion is inspired, but it should not exceed 60 degrees.
During Mobilization
Gradual mobilization of spine is initiated. The individual is encouraged to perform functional activities and also to perform all the activities of everyday living.