{"id":2745,"date":"2018-10-03T21:46:22","date_gmt":"2018-10-03T21:46:22","guid":{"rendered":"https:\/\/cortho.wpengine.com\/?page_id=2745"},"modified":"2024-07-24T06:52:49","modified_gmt":"2024-07-24T06:52:49","slug":"degenerative-spondylolisthesis","status":"publish","type":"page","link":"https:\/\/2025divi.cortho.org\/?page_id=2745","title":{"rendered":"Degenerative Spondylolisthesis"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#004279&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; width=&#8221;89%&#8221; width_tablet=&#8221;80%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;89%&#8221; max_width_tablet=&#8221;80%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Change Heading Here&#8221; _builder_version=&#8221;4.21.0&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; background_layout=&#8221;dark&#8221; z_index_tablet=&#8221;0&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; link_text_shadow_vertical_length_tablet=&#8221;0px&#8221; link_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ul_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ul_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ul_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_2_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_2_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_2_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_3_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_3_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_3_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Case Study: Degenerative Spondylolisthesis<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;500&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; link_text_shadow_vertical_length_tablet=&#8221;0px&#8221; link_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ul_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ul_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ul_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_2_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_2_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_2_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_3_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_3_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_3_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>70 year old male presented to the office with complains of <a href=\"https:\/\/2025divi.cortho.org\/spine\/back-pain\/\">back pain<\/a> and heaviness in both lower extremities, which worsened with activity including walking for long distances. His walking distance decreased over time.<\/p>\n<p>He found himself leaning forwards after walking for a block. He also used to lean over the grocery cart while going shopping.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2746 size-full\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/17.png\" alt=\"X-rays and MRI of the Lumbar spine showed L4-5 degenerative spondylolisthesis \" width=\"147\" height=\"290\" \/>\u00a0 \u00a0 \u00a0 \u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2747 size-full\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/18.png\" alt=\"X-rays and MRI of the Lumbar spine showed L4-5 degenerative spondylolisthesis \" width=\"177\" height=\"291\" \/>\u00a0 \u00a0 \u00a0 \u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2748 size-medium\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/19-300x146.png\" alt=\"X-rays and MRI of the Lumbar spine showed L4-5 degenerative spondylolisthesis \" width=\"300\" height=\"146\" srcset=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/19-300x146.png 300w, https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/19.png 546w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>X-rays and MRI of the Lumbar <a href=\"https:\/\/2025divi.cortho.org\/spine\/\" target=\"_blank\" rel=\"noopener noreferrer\">spine<\/a> showed L4-5 degenerative spondylolisthesis<br \/>and severe spinal stenosis.<\/p>\n<p>Patient underwent conservative management the problems using <a href=\"https:\/\/2025divi.cortho.org\/knee\/cortisone-injection\/\">pain injections (Cortisone shots)<\/a> and medications and achieved short term relief.<\/p>\n<p>Patient had worsening of the symptoms and decided to go for surgical management of the pathology.<\/p>\n<p>Patient underwent <a href=\"https:\/\/2025divi.cortho.org\/videos\/laminectomy-and-minimal-invasive-decompression\/\">decompression laminectomy<\/a> with decompression of nerve roots and transforaminal interbody fusion using PEEK (polyether ether ketone) cage and pedicle screw and rod fixation for fusion at L4-5 level.<\/p>\n<p><img alt=\"\" alt=\"\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2749 size-medium\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/20-165x300.png\" alt=\"\" width=\"165\" height=\"300\" srcset=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/20-165x300.png 165w, https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/20.png 191w\" sizes=\"(max-width: 165px) 100vw, 165px\" \/>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<img alt=\"\" alt=\"\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2750 size-medium\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/21-300x202.png\" alt=\"\" width=\"300\" height=\"202\" srcset=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/21-300x202.png 300w, https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/21.png 405w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Fusion was achieved in about 3 months and patient was asymptomatic.<\/p>\n<p><img alt=\"\" alt=\"\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2751 size-medium\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/22-150x300.png\" alt=\"\" width=\"150\" height=\"300\" srcset=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/22-150x300.png 150w, https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/22.png 167w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<img alt=\"\" alt=\"\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2752 size-medium\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/23-154x300.png\" alt=\"\" width=\"154\" height=\"300\" srcset=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/23-154x300.png 154w, https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/23.png 166w\" sizes=\"(max-width: 154px) 100vw, 154px\" \/>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<img alt=\"\" alt=\"\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2753 size-full\" src=\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2018\/09\/24.png\" alt=\"\" width=\"230\" height=\"287\" \/><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_sidebar area=&#8221;sidebar-1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<br \/>\n[\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Case Study: Degenerative Spondylolisthesis 70 year old male presented to the office with complains of back pain and heaviness in both lower extremities, which worsened with activity including walking for long distances. His walking distance decreased over time. He found himself leaning forwards after walking for a block. He also used to lean over the [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":3986,"parent":8847,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"Case Study: Degenerative Spondylolisthesis Pain Management","_seopress_titles_desc":"This is an actual case study of a patient here at Complete Orthopedics. Degenerative Spondylolisthesis","_seopress_robots_index":"","_et_pb_use_builder":"on","_et_pb_old_content":"70 year old male presented to the office with complains of back pain and heaviness in both lower extremities, which worsened with activity including walking for long distances. His walking distance decreased over time. He found himself leaning forwards after walking for a block. He also used to lean over the grocery cart while going shopping.\r\n\r\n<a href=\"\/wp-content\/uploads\/2018\/09\/17.png\"><img class=\"alignnone size-full wp-image-2746\" src=\"\/wp-content\/uploads\/2018\/09\/17.png\" alt=\"\" width=\"147\" height=\"290\" \/><\/a>\u00a0 \u00a0 \u00a0 \u00a0<a href=\"\/wp-content\/uploads\/2018\/09\/18.png\"><img class=\"alignnone size-full wp-image-2747\" src=\"\/wp-content\/uploads\/2018\/09\/18.png\" alt=\"\" width=\"177\" height=\"291\" \/><\/a>\u00a0 \u00a0 \u00a0 \u00a0<a href=\"\/wp-content\/uploads\/2018\/09\/19.png\"><img class=\"alignnone size-medium wp-image-2748\" src=\"\/wp-content\/uploads\/2018\/09\/19-300x146.png\" alt=\"\" width=\"300\" height=\"146\" \/><\/a>\r\n\r\nX rays and MRI of the Lumbar spine showed L4-5 degenerative spondylolisthesis\r\nand severe spinal stenosis.\r\n\r\nPatient underwent conservative management the problems using pain injections (Cortisone shots) and medications and achieved short term relief.\r\n\r\nPatient had worsening of the symptoms and decided to go for surgical management of the pathology.\r\n\r\nPatient underwent decompression laminectomy with decompression of nerve roots and transforaminal interbody fusion using PEEK (polyether ether ketone) cage and pedicle screw and rod fixation for fusion at L4-5 level.\r\n\r\n<a href=\"\/wp-content\/uploads\/2018\/09\/20.png\"><img class=\"alignnone size-medium wp-image-2749\" src=\"\/wp-content\/uploads\/2018\/09\/20-165x300.png\" alt=\"\" width=\"165\" height=\"300\" \/><\/a>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"\/wp-content\/uploads\/2018\/09\/21.png\"><img class=\"alignnone size-medium wp-image-2750\" src=\"\/wp-content\/uploads\/2018\/09\/21-300x202.png\" alt=\"\" width=\"300\" height=\"202\" \/><\/a>\r\n\r\nFusion was achieved in about 3 months and patient was asymptomatic.\r\n\r\n<a href=\"\/wp-content\/uploads\/2018\/09\/22.png\"><img class=\"alignnone size-medium wp-image-2751\" src=\"\/wp-content\/uploads\/2018\/09\/22-150x300.png\" alt=\"\" width=\"150\" height=\"300\" \/><\/a>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"\/wp-content\/uploads\/2018\/09\/23.png\"><img class=\"alignnone size-medium wp-image-2752\" src=\"\/wp-content\/uploads\/2018\/09\/23-154x300.png\" alt=\"\" width=\"154\" height=\"300\" \/><\/a>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"\/wp-content\/uploads\/2018\/09\/24.png\"><img class=\"alignnone size-full wp-image-2753\" src=\"\/wp-content\/uploads\/2018\/09\/24.png\" alt=\"\" width=\"230\" height=\"287\" \/><\/a>","_et_gb_content_width":"","footnotes":""},"class_list":["post-2745","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/2745","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2745"}],"version-history":[{"count":0,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/2745\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/8847"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/media\/3986"}],"wp:attachment":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}