Lumbar Spondylolysis and Spondylolisthesis
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We will provide information on the surgical methods for spinal spondylolysis and spondylolisthesis, the length of hospital stay, and whether the procedures are covered by insurance.
脊椎分離症・すべり症
What is Spondylolysis?
Spondylolysis is a condition in which the continuity of the bone in the pars interarticularis of the spine, where the bones should normally be connected, is disrupted (separated). It most commonly occurs in the fifth lumbar vertebra (L5) and frequently develops during adolescence, especially among those who participate in sports. The cause is believed to be a stress fracture due to repeated external forces applied to the lower back.
Symptoms
The main symptom of this condition is lower back pain. However, since the pain often occurs mainly during physical activity and there may be few symptoms during normal activities, it is not uncommon for the condition to be neglected.
Treatment Methods
By initiating appropriate conservative treatments, such as early use of a brace or cast, healing of the fractured area can be expected. Early diagnosis requires not only X-rays but also CT or MRI scans. Therefore, if your child experiences lower back pain during physical activity, it is crucial to seek medical attention early. If spondylolysis is left untreated, the stability between adjacent vertebrae may be compromised, leading to misalignment of the bones. This condition is known as spondylolisthesis. In severe cases, slippage can cause pain or numbness in the legs, and sometimes surgery may be required. It is said that slippage is more likely to occur in younger individuals with incomplete bone growth. Therefore, early and accurate diagnosis and treatment are essential.
Surgical Method 1: Spondylolysis Repair Surgery
This surgery involves bone grafting to achieve fusion of the separated area when conservative treatment fails to heal the spondylolysis and the patient experiences severe lower back pain, causing significant interference with academic or daily activities.
Surgical Method 2: Posterior Lumbar Interbody Fusion (TLIF)
This surgery is performed when spondylolisthesis progresses to spinal stenosis, causing severe nerve compression. (For details on the surgical procedure, please refer to the section on surgical treatment for spinal stenosis.)
Surgical Method 1: Spondylolysis Repair Surgery
This surgery involves bone grafting to achieve fusion of the separated area when conservative treatment fails to heal the spondylolysis and the patient experiences severe lower back pain, causing significant interference with academic or daily activities.
Surgical Method 2: Posterior Lumbar Interbody Fusion (TLIF)
This surgery is performed when spondylolisthesis progresses to spinal stenosis, causing severe nerve compression. (For details on the surgical procedure, please refer to the section on surgical treatment for spinal stenosis.)