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Nonsurgical Management of Spondylolisthesis in Adult Patients

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Spondylolisthesis

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Abstract

A malalignment of adjacent vertebral bodies, also known as spondylolisthesis, is not an uncommon finding in patients with degenerative lumbar disease. In many instances this may be a painful condition which may contribute to limited function and overall quality of life. Although pain from spondylolisthesis can be multifactorial, there are a variety of conservative treatment options which can be helpful as part of the treatment paradigm. These options will be more closely examined in this chapter.

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References

  1. Borenstein D, Wiesel S, Boden S. Low back and neck pain: comprehensive diagnosis and management. 3rd ed. Philadelphia: Elsevier; 2004. p. 288–94.

    Google Scholar 

  2. Thomas S. Spondylolisthesis: epidemiology and assessment. In: Slipman C, Derby R, Simeone F, Mayer T, editors. Interventional spine an algorithmic approach. Philadelphia: Elsevier; 2008. p. 1077–108.

    Chapter  Google Scholar 

  3. Kalichman L, Hunter DJ. Diagnosis and conservative management of degenerative lumbar spondylolisthesis. Eur Spine J. 2008;17(3):327–35. https://doi.org/10.1007/s00586-007-0543-3.

    Article  PubMed  Google Scholar 

  4. Vibert BT, Sliva CD, Herkowitz HN. Treatment of instability and spondylolisthesis: surgical versus nonsurgical treatment. Clin Orthop Relat Res. 2006;443:222–7. https://doi.org/10.1097/01.blo.0000200233.99436.ea.

    Article  PubMed  Google Scholar 

  5. Matsunaga S, Ijiri K, Hayashi K. Nonsurgically managed patients with degenerative spondylolisthesis: a 10–18-year follow-up study. J Neurosurg Spine. 2000;93:194–8.

    Article  CAS  Google Scholar 

  6. Last A, Hulbert K. Chronic low back pain: evaluation and management. Am Fam Physician. 2009;79(12):1067–74.

    PubMed  Google Scholar 

  7. Enthoven WT, Roelofs PD, Deyo RA, van Tulder MW, Koes BW. Non-steroidal anti-inflammatory drugs for chronic low back pain. Cochrane Database Syst Rev. 2016;2(2):CD012087. https://doi.org/10.1002/14651858.CD012087.

    Article  PubMed  Google Scholar 

  8. Peck J, Urits I, Peoples S, Foster L, Malla A, Berger AA, Cornett EM, Kassem H, Herman J, Kaye AD, Viswanath O. A comprehensive review of over the counter treatment for chronic low back pain. Pain Ther. 2021;10(1):69–80. https://doi.org/10.1007/s40122-020-00209-w.

    Article  PubMed  Google Scholar 

  9. Qaseem A, Wilt T, McLean R, et al. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514–30.

    Article  PubMed  Google Scholar 

  10. Bydon M, Alvi M, Goyal A. Degenerative lumbar spondylolisthesis: definition, natural history, conservative management, and surgical treatment. Neurosurg Clin N Am. 2019;30:299–304.

    Article  PubMed  Google Scholar 

  11. Leonidou A, Lepetsos P, Pagkalos J, Antonis K, Flieger I, Tsiridis E, Leonidou O. Treatment for spondylolysis and spondylolisthesis in children. J Orthop Surg (Hong Kong). 2015;23(3):379–82. https://doi.org/10.1177/230949901502300326.

    Article  PubMed  Google Scholar 

  12. Bell DF, Ehrlich MG, Zaleske DJ. Brace treatment for symptomatic spondylolisthesis. Clin Orthop Relat Res. 1988;236:192–8.

    Article  Google Scholar 

  13. Steiner ME, Micheli LJ. Treatment of symptomatic spondylolysis and spondylolisthesis with the modified Boston brace. Spine (Phila Pa 1976). 1985;10(10):937–43. https://doi.org/10.1097/00007632-198512000-00013.

    Article  CAS  PubMed  Google Scholar 

  14. Gagnet P, Kern K, Andrews K, Elgafy H, Ebraheim N. Spondylolysis and spondylolisthesis: a review of the literature. J Orthop. 2018;15(2):404–7. https://doi.org/10.1016/j.jor.2018.03.008.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Wieland LS, Skoetz N, Pilkington K, Vempati R, D'Adamo CR, Berman BM. Yoga treatment for chronic non-specific low back pain. Cochrane Database Syst Rev. 2017;1(1):CD010671. https://doi.org/10.1002/14651858.CD010671.pub2.

    Article  PubMed  Google Scholar 

  16. Yamato TP, Maher CG, Saragiotto BT, Hancock MJ, Ostelo RW, Cabral CM, Menezes Costa LC, Costa LO. Pilates for low back pain. Cochrane Database Syst Rev. 2015;2015(7):CD010265. https://doi.org/10.1002/14651858.CD010265.pub2.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Saper RB, Lemaster C, Delitto A, Sherman KJ, Herman PM, Sadikova E, Stevens J, Keosaian JE, Cerrada CJ, Femia AL, Roseen EJ, Gardiner P, Gergen Barnett K, Faulkner C, Weinberg J. Yoga, physical therapy, or education for chronic low back pain: a randomized noninferiority trial. Ann Intern Med. 2017;167(2):85–94. https://doi.org/10.7326/M16-2579.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Brämberg EB, Bergström G, Jensen I, Hagberg J, Kwak L. Effects of yoga, strength training and advice on back pain: a randomized controlled trial. BMC Musculoskelet Disord. 2017;18(1):132. https://doi.org/10.1186/s12891-017-1497-1.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Groessl EJ, Liu L, Chang DG, Wetherell JL, Bormann JE, Atkinson JH, Baxi S, Schmalzl L. Yoga for military veterans with chronic low back pain: a randomized clinical trial. Am J Prev Med. 2017;53(5):599–608. https://doi.org/10.1016/j.amepre.2017.05.019.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Lee HJ, Seo JC, Kwak MA, et al. Acupuncture for low back pain due to spondylolisthesis: study protocol for a randomized controlled pilot trial. Trials. 2014;15:105. https://doi.org/10.1186/1745-6215-15-105.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine, Montefiore Medical Center, Bronx, NY, USA

    Andrew I. Gitkind

  2. Albert Einstein College of Medicine, Bronx, NY, USA

    Jordan G. Schnoll

Authors
  1. Andrew I. Gitkind
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  2. Jordan G. Schnoll
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Corresponding author

Correspondence to Andrew I. Gitkind .

Editor information

Editors and Affiliations

  1. Stryker Spine, Brookfield, CT, USA

    Adam L. Wollowick

  2. Department of Orthopedic Surgery, Northwell Health, New Hyde Park, NY, USA

    Vishal Sarwahi

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Gitkind, A.I., Schnoll, J.G. (2023). Nonsurgical Management of Spondylolisthesis in Adult Patients. In: Wollowick, A.L., Sarwahi, V. (eds) Spondylolisthesis. Springer, Cham. https://doi.org/10.1007/978-3-031-27253-0_10

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  • DOI: https://doi.org/10.1007/978-3-031-27253-0_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-27252-3

  • Online ISBN: 978-3-031-27253-0

  • eBook Packages: MedicineMedicine (R0)

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