In a series of 82 symptomatic patients ..
If not, treatment will be symptomatic, directed at the structures at fault.
Brace treatment for symptomatic ..
If one suspects a "stress reaction" to be occurring in the lumbar spine, and x-rays show no pathology, the most accurate method of assessment, for a symptomatic pars interarticularis, is bone scanning with SPECT.
In this instance, correct identification of the symptomatic structures must be made, to determine if it is the spondylolisthesis that is giving rise to symptoms, or other structures injured during the trauma.
no treatment, recheck q 1 year; Symptomatic ..
It must be stressed though that there are many instances where the spondylolisthesis is un-diagnosed and asymptomatic, trauma is experienced, investigations made and the spondylolisthesis "diagnosed".
Taking into account the gastrointestinal side effects of NSAIDs, cardiovascular side effects of COX-2 inhibitors and the fact that the DS population comprised mostly from elderly people, acetaminophen or other not-NASID analgesics should be the first choice for initial management of DS. NSAIDs can be part of the initial management of symptomatic DS, however, they are equally efficacious compared to acetaminophen, which only provides pain relief . At lower doses, the analgesic effect reduces musculoskeletal pain; at higher doses, NSAIDs provide an anti-inflammatory effect on nerve root and joint irritation. Unfortunately, many elderly patients cannot tolerate the gastrointestinal and renal side effects. There is no evidence that one non-steroidal agent is more effective for LBP than another, but cyclooxygenase (COX)-2 selective agents had been recommended in older individuals because of fewer gastrointestinal side effects. Another option is enteric-coated aspirin, which may be as effective, at lower cost and with fewer gastrointestinal side effects. Patients taking any of these medicines should have their hepatic and renal function monitored.
and spondylolisthesis in symptomatic elite ..
A compression fracture, involving less than 25
percent of a single vertebra is not disqualifying if the injury occurred more than 1 year before examination
and the applicant is asymptomatic.
Premature atrial or ventricular contractions are disqualifying when
sufficiently symptomatic to require treatment or result in physical or psychological impairment.
Nonoperative treatment of symptomatic spondylolysis
Brace treatment for symptomatic spondylolisthesis
There is good evidence that surgical treatment of symptomatic spondylolisthesis is significantly superior to ..
Symptomatic patients are most ..
spondylogic® brace in a patient with a scoliosis of less than 25° and a symptomatic spondylolisthesis
For non symptomatic patients no active treatment …
Treatment of symptomatic spondylolysis and spondylolisthesis with the modified Boston brace.
Zaleske DJ (1988) Brace treatment for symptomatic ..
Spratt et al.  evaluated the influence of combined treatment of bracing, exercises and education controlling either flexion or extension postures on patients with radiographic instability. Fifty-six patients meeting strict study inclusion and radiographic evaluation criteria were assigned to a bracing treatment (flexion, extension, placebo-control) according to a randomization scheme, designed to ensure equal representation of translation categories (retrolisthesis, normal, spondylolisthesis) across treatment groups, and assessed at admission and 1-month follow-up. This study did not make any conclusions about effectiveness of bracing for instability, but authors found that brace treatments (that was done in combination with exercises) were not shown to reduce patient range of motion or lessen trunk strength.
Operative treatment of symptomatic lumbar …
We did not find any studies that specifically evaluated brace treatment for symptoms associated with DS. However, Prateepavanich et al.  evaluated the effectiveness of a lumbosacral corset in a self controlled comparative study on 21 patients (mean age 62.5) with symptomatic degenerative lumbar spinal stenosis (neurogenic claudication). Patients treated with the corset showed a statistically significant improvement in walking distance and decrement of pain score in daily activities in comparison with patients who did not wear the corset. Because most patients with symptomatic DS suffer from neurogenic claudication, use of bracing needs to be examined for treatment of patients with DS. The other rationale to use bracing in patients with DS is to decrease segmental spinal instability, although it is not a main pain generator in DS. Bell et al.  showed that adolescents with grade I and II isthmic spondylolisthesis who received brace treatment for 25 month were pain-free and none had demonstrated a significant increase in slip percent. In addition, patients with lateral recess stenosis with impingement of the nerve root can potentially benefit from a brace that prevents rotation.
Brace treatment for symptomatic spondylolisthesis.
Condition, to include Meckel’s diverticulum or functional (564) abnormalities,
persisting or symptomatic within the past 2 years.
Posterior Lumbar Fusion (PLF) - USC Spine Center - Los …
Degenerative spondylolisthesis is a complex multifactorial problem. Although, DS is a common diagnosis in aging individuals, there is little empiric evidence to support many of the common nonsurgical interventions for symptomatic individuals. Because of limitations with the existing literature that have been highlighted, current practice recommendations require incorporating findings from available studies into existing clinical and biologic paradigms in order to provide a rational basis for treatment recommendations. In addition, the absence of consensus guidelines from national or international organizations, the treatment of DS remains highly dependent on patient and physician expectations and preferences. Despite many surgical options exist for the treatment of DS, it generally is agreed that in most cases nonoperative treatment should be attempted before surgical intervention is pursued. Of the nonoperative options, none are conclusively superior to the others and all have a role in the treatment of symptomatic patients. For patients with DS, nonsurgical treatments should focus on patient education, medications to control pain, flexion strengthening and stabilizing exercises and physical and cognitive treatments to regain or maintain activities of daily living. Specific aims of nonsurgical treatments should focus of improvement of spinal segmental stability and reliving neurological symptoms that caused by spinal stenosis associated with DS. For many patients, several nonsurgical treatments may be used sequentially or in combination depending on the severity of symptoms and their change with time. However, in our opinion exercises should be recommended to be done on the daily basis.
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