Anterolisthesis

Anterolisthesis

Anterolisthesis

Our spines are made up of seven cervical vertebrae, twelve thoracic, and five lumbar.  Our spinal column is curved in such a way as to decrease the compressive load to our discs.  Are discs are made of fibrocartilage and allow for shock absorption of the spine.  When the discs begin to lose water or start to bulge as in a disc herniation the nerve roots may become compressed and therefore cause pain and local inflammation.  In cases of an Anterolisthesis , the vertebra has actually moved anterior or forward in relation to the bone below it.  This slippage can range from mild to severe and is determined on a grading scale from 1 to 4.  Symptoms can vary depending on the person’s age, pain tolerance, and complexity of the Anterolisthesis.  When this condition is mild, individuals may not even possess any pain whatsoever and therefore it’s usually an incidental finding upon x-ray.  In severe cases, the slippage can penetrate the nerve that influences the spinal cord.  These individuals have significant pain and this must be addressed immediately due to spinal cord insult.  These patients may suffer from the following types of symptoms with an Anterolisthesis: loss of bladder or bowel control, inability to feel sensations like hot, cold, and pain; and they may suffer from poor posture and a waddling gait due to abnormal curvature.

Treatment Options

There are many treatment options available for someone with an Anterolisthesis and they include, but are not limited to, the following modalities: Chiropractic care, surgical fusion, interbody fusion, physical therapy, acupuncture, and massage therapy.  While some of these work better than others some are much more invasive and the long-term effects don’t always outweigh the benefits initially.  This should be handled on a case by case basis and depending on the severity of the Spondylo the treatment will vary greatly.  A Chiropractor will take an x-ray and refer for an MRI if a Spondylo is suspected.  After the results they will determine whether or not the patient is a candidate for Chiropractic care of must be referred out for surgical intervention.  They may encompass Acupuncture and massage therapy but only as adjuncts for care.  These two modalities will not manually move the bone itself.  They will only help with local inflammation and pain levels.  Talk with your primary care physician today about your treatment goals and expectations with your Anterolisthesis  diagnosis.  Early and correct treatment is ideal.

Find out more about chiropractic care for spondylolisthesis.