Jason C. Eck, DO, MS
Dr. Eck received a Bachelor of Science degree from the Catholic University of America in Biomedical Engineering, followed by a Master of Science degree in Biomedical Engineering from Marquette University. Following this he worked as a research engineer conducting spine biomechanics research. He then attended medical school at University of Health Sciences. He is board eligible in orthopaedic surgery.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
- Spondylolisthesis facts
- What is spondylolisthesis?
- What causes spondylolisthesis?
- What are the risk factors for spondylolisthesis?
- What are the symptoms of spondylolisthesis?
- How is spondylolisthesis diagnosed?
- What is the treatment for spondylolisthesis?
- Can spondylolisthesis be prevented?
- What are the complications of spondylolisthesis?
- What is the outlook for spondylolisthesis?
- Patient Comments: Spondylolisthesis - Effective Treatments
- Patient Comments: Spondylolisthesis - Causes
- Patient Comments: Spondylolisthesis - Symptoms
- Find a local Rheumatologist in your town
- Spondylolisthesis is a forward or backward slippage of one vertebra on an adjacent vertebra.
- Causes of spondylolisthesis include trauma, degenerative, tumor, and birth defects.
- Symptoms of spondylolisthesis include lower back or leg pain, hamstring tightness, and numbness and tingling in the legs.
- Most people with spondylolisthesis can be treated conservatively, without the need for surgery.
- Patients who fail to improve with conservative treatment may be a candidate for surgery.
What is spondylolisthesis?
Spondylolisthesis (spon + dee + lo + lis + thee + sis) is a condition of the spine whereby one of the vertebra slips forward or backward compared to the next vertebra. Forward slippage of an upper vertebra on a lower vertebra is referred to as anterolisthesis, while backward slippage is referred to as retrolisthesis. Spondylolisthesis can lead to a deformity of the spine as well as a narrowing of the spinal canal (central spinal stenosis) or compression of the exiting nerve roots (foraminal stenosis).
What causes spondylolisthesis?
There are five major types of lumbar spondylolisthesis.
- Dysplastic spondylolisthesis: Dysplastic spondylolisthesis is caused by a defect in the formation of part of the vertebra called the facet that allows it to slip forward. This is a condition that a patient is born with (congenital).
- Isthmic spondylolisthesis: In Isthmic spondylolisthesis, there is a defect in a portion of the vertebra called the pars interarticularis. If there is a defect without a slip, the condition is called spondylolysis. Isthmic spondylolisthesis can be caused by repetitivetrauma and is more common in athletes exposed to hyperextension motions including gymnasts, and football linemen.
- Degenerative spondylolisthesis: Degenerative spondylolisthesis occurs due to arthritic changes in the joints of the vertebrae due to cartilage degeneration. Degenerative spondylolisthesis is more common in older patients.
- Traumatic spondylolisthesis: Traumatic spondylolisthesis is due to direct trauma or injury to the vertebrae. This can be caused by a fracture of the pedicle, lamina or facet joints that allows the front portion of the vertebra to slip forward with respect to the back portion of the vertebra.
- Pathologic spondylolisthesis: Pathologic spondylolisthesis is caused by a defect in the bone caused by abnormal bone, such as from atumor.
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