We can help you return to a healthy, pain-free and active life. For most patients this is accomplished with nonsurgical treatments. But, even if surgery is needed, be assured we will discuss all procedure risks and benefits and provide you with the best possible care. In addition treatments, our medical professionals have a deep commitment to patient education. By helping you understand the cause of your condition, we can help you eliminate risk factors and instill spine healthy habits for a lifetime.
While you are under our care, our medical staff will provide you with excellent information to help you recover, minimize risk factors, and stay healthy. George A.
Frey focuses his medical practice on the treatment of all complex spine problems affecting the cervical, thoracic, and lumbar regions in adult and pediatric patients. Frey is known for his extensive experience and training in complex spinal reconstruction, revision, and scoliosis surgery in children and adults. His practice reflects his strong expertise in the treatment of complex adult spine problems where deformity exists or revision surgery is necessary.
More About Dr. Kevin Schmidt is a Colorado native born and raised in Aurora. He performed his internship in Indianapolis and went on to serve as chief resident of Physical Medicine and Rehabilitation at the prestigious Mayo Clinic in Rochester, Minnesota. Spinal problems are among medicine's most complex treatment challenges. CCSI's integrated team approach works together with each patient to provide exceptional patient-centered medical care.
Our team includes a broad range of specialties including nonsurgical and surgical experts in orthopaedic spine surgery, neurosurgery, neurology, physiatry, pain medicine and pharmacology, physical therapy and rehabilitation, massage therapy, chiropractic, and acupuncture. Legendary Care Dr. Locations Denver. Patient Education. Telephone: Fax: TollFree: Education Anatomy Tests Wellness.
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George Frey, M. Kevin Schmidt, M. The back and leg pain are often activity related and can persist for a few days after a day of increased physical activity.
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In most cases the slip is stable and does not change between flexion and extension. The exact cause of back pain in clients with no motion is uncertain but may be due to stress on the disc annulus or on other soft tissue elements such as muscles and ligaments. However, most people with isthmic spondylolisthesis do not have pain but should have the same amount of stress on these soft tissue structures as the people who have pain.
What Does Your Spondylolisthesis Diagnosis Mean? – Penn Medicine
If there is abnormal movement at the level of the spondylolisthesis then this instability is felt to be responsible for the pain. If people have foraminal stenosis which is narrowing of the small openings where the nerves leave the spine, it can result in nerve compression and radicular leg pain sciatica. Like other causes of back pain the initial treatment consists of medication, activity modification and physiotherapy. Massage therapy, chiropractic care, accupuncture and other non-operative forms of treatment should be tried initially.
Like people who do not have a spondylolisthesis, the back pain will usually resolve within 6 weeks. Many of these people have chronically tight hamstrings and should be given education on hamstring stretching exercises.
Epidural steroid injections can improve radicular leg pain and facet joint injections can be effective for the back pain associated with isthmic or degenerative spondylolisthesis. The use of a lumbosacral brace for a short period of time may be beneficial. However long-term use can lead to atrophy of the paraspinal muscles.
There Are Several Types Of Spondylolisthesis
Surgery is usually not considered for at least 3 months after the onset of symptoms as many people improve without surgery. If surgery is considered the most common procedure is a posterolateral fusion which involves putting bone graft material between the transverse processes to encourage a fusion.
Decompression is usually performed in clients with radicular leg pain. Fusions are usually augmented with rods and screws to provide stability while the bony fusion becomes solid. The hardware is usually not removed unless complications such as breakage occur.
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- Degenerative Spondylolisthesis Treatment & Surgery | NJ & NYC.
Fusions can also be performed from an anterior approach with removal of the disc and insertion of a cage of some sort augmented with bone or some form of fusion material. Some infusions involve both an anterior and a posterior approach. New minimally invasive surgery MIS procedures often involve removal of the disc, insertion of a graft to restore the spinal alignment and insertion of rods and screws to produce stability.
These MIS procedures are performed through a series of small incisions with minimal blood loss and very short hospital stays. Success of surgery depends on proper client selection.
Not everyone with a spondylolisthesis improves with surgery. Some can even be made worse.
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Like other spinal operations the most common complications are infection, spinal fluid lead and nerve root injury. The last has a higher incidence in cases of spinal fusion where screws can be misplaced and injury a nerve. Other complications include bleeding requiring a transfusion, vascular injury, sexual dysfunction with anterior approaches , non-union with persistent pain, rod and screw breakage which may cause recurrent pain. Out of town patient? You can have your initial consult with a Neurosurgeon via video conference in the comfort of your own home.
CALL Clients Client Education Videos. Independent Medical Examinations. Health Private Healthcare. Spondylolisthesis Definition: This refers to the anterior subluxation of one vertebral body on another. Grading: There are four grades of spondylolisthesis according to the Meyerding grading system. Signs and symptoms: Many people with spondylolisthesis do not have any symptoms. Cause: There are five different types of spondylolisthesis according to the Wiltse classification system.