Spondylolisthesis: Diagnosis and Solutions.. A Guide by Dr. Mahmoud Hadhoudhttps://youtu.be/kucvnk_gRyk?si=oL8s5uxGCB8LSiTJ
Spondylolisthesis is a spinal condition where one vertebra slips forward over the one below it. This displacement can lead to nerve compression and spinal instability. Professor Dr. Mahmoud Hadhoud, Professor of Orthopedic Surgery and Spine Consultant, explains everything you need to know about its diagnosis and modern treatment options.
What is Spondylolisthesis?
It is the slippage of a vertebra out of its natural alignment, most commonly occurring in the lumbar spine (lower back). This condition is critical because it can cause spinal stenosis, leading to severe pain or neurological symptoms in the legs.
Grades of Spondylolisthesis
The condition is classified into four grades based on the percentage of slippage:
* Grade I: Low-grade slip (less than 25%), often managed conservatively.
* Grade II: Slip between 25% and 50%.
* Grades III & IV: High-grade slips (over 50%), which typically require surgical intervention to stabilize the spine and protect nerve function.
Common Symptoms
* Persistent lower back pain, especially when standing or walking.
* Tightness in the hamstring muscles.
* Numbness, tingling, or weakness in the legs.
* In advanced cases, a noticeable change in gait or posture.
Treatment Solutions
The treatment plan at Dr. Mahmoud Hadhoud’s clinics depends on the severity of the slip:
Conservative Management
Used for minor slips and includes:
* Rest and activity modification.
* Wearing a specialized back brace for support.
* Physical therapy to strengthen core and spinal muscles.
Surgical Solutions (Spinal Fusion and Stabilization)
For unstable or high-grade cases, spinal stabilization is the definitive solution:
* Pedicle Screw Fixation: Using high-quality rods and screws to realign and secure the vertebrae.
* Minimally Invasive Decompression: To relieve pressure on the spinal nerves.
* Spinal Fusion: To create permanent stability between the affected vertebrae using the latest surgical techniques.
> Professional Care: Dr. Mahmoud Hadhoud combines academic expertise with advanced surgical skills in endoscopy and minimally invasive procedures to ensure the best outcomes and faster recovery.
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للتواصل والحجز | Contact Info:
* Heliopolis (Cairo): Tricare Clinics – Saint Fatima Sq.
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