{"id":17857,"date":"2024-05-23T16:32:03","date_gmt":"2024-05-23T16:32:03","guid":{"rendered":"https:\/\/test.isokinetic.com\/spondylolysis-listhesis\/"},"modified":"2024-10-27T07:26:20","modified_gmt":"2024-10-27T07:26:20","slug":"spondylolysis-listhesis","status":"publish","type":"page","link":"https:\/\/isokinetic.com\/en\/spondylolysis-listhesis\/","title":{"rendered":"Spondylolysis"},"content":{"rendered":"\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t
<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Spondylolysis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

The vertebral column, also known as the spine, is a complex structure of our body which is part of the axial skeleton, constituting the central part of our body. The spine is composed of 33 smaller units called vertebrae, 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 4 coccygeal. The vertebrae present a canal in their posterior part in which the neural system passes through and innervates different structures to allow sensation and movements. Spondylolysis is a unilateral or bilateral bony defect of a specific structure located in the posterior aspect of the vertebra (named pars interarticularis), often considered to be a stress fracture. Due to the damage reported to that structure, the vertebra can slip forward, in that case, the medical term is spondylolisthesis. As for the other stress fractures, these injuries are typically due to progressive and repetitive stress applied to the body, with an increased risk in active populations that practice high-impact sports (e.g.: gymnasts, weightlifters, soccer, etc.). These types of injuries are most common in the lumbar area (low back area), however, they can be reported in other spinal segments too. Depending on the specifics of the injury and the vertebral displacement, significantly different symptoms can be reported by patients affected by this condition from being completely asymptomatic to severe back pain and neural symptoms (e.g.: tingling, burning, weakness, etc.). Aside from collecting data from the injury mechanisms and performing a physical assessment of the patient, an imaging examination (e.g.: x-ray, computed tomography, magnetic resonance imaging, etc.) is required to optimally visualise the specifics of the injury. It is important to underline that the presence of anatomical abnormalities of the spine detected through imaging are not necessarily related to the symptoms experienced by the patient, and that false positives are common. For this reason, a holistic approach is paramount in the diagnosis and treatment of patients with back conditions. <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Management<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
\n
\n
\n
\n
\n
Based on the severity of the condition, significantly different treatment strategies can be implemented in the management of spondylolysis. Conservative treatment is typically the first line of treatment, consisting of rehabilitation, pharmacological intervention, and potentially bracing. In more severe cases when surgical treatment is deemed necessary, several different procedures can be implemented based on the patient\u2019s needs and are always discussed between the patient and the medical-surgical staff. In Isokinetic, after being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room, and the pitch. Likewise for all the other medical conditions, a global approach (bio-psycho-social), centred on your needs will be implemented. In the early stages, the main goal of the rehabilitation is to minimise the symptoms related to the condition. Mobility recovery and muscle activation are typically progressed with respect to maintaining spinal stability. In the mid-stage of rehabilitation, core and upper\/lower limb strength and stability recovery become the priority, together with the optimisation of the general movement quality to learn how to effectively distribute the load among different structures (back, hip, knee) during daily living, and sports activities. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to return to participate in their favourite activities, maximising the outcomes and reducing the likelihood of complications. <\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t
<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Spondylolysis The vertebral column, also known as the spine, is a complex structure of our body which is part of the axial skeleton, constituting the central part of our body. The spine is composed of 33 smaller units called vertebrae, 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 4 coccygeal. The vertebrae present a […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17857","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t