Assessing severity of spondylolisthesis

Posted by Twocoastsm @marlenec, Dec 11, 2022

My MRI references the degree of slippage of my L4/L5 vertebrae in millimeters. But when I look up information about the condition and intervention thresholds the literature references grades of spondylolisthesis not millimeters. I have forgotten to ask the doctored what “grade” my slippage is. Anyone out there who can help?

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Profile picture for Lisa Lucier, Moderator @lisalucier

@annie1 - just wanted you to know I moved your post about severe spondylosthesis here to this thread where others have talked about a similar topic:

- Assessing severity of spondylolisthesis https://connect.mayoclinic.org/discussion/assessing-severity-of-spondylolisthesis/

Hoping members here such as @marlenec @sueinmn will have some thoughts for you on your struggle to find a surgeon with an objective point of view and whether a fusion might be an good next step for you or not.

Have you already visited with more than one surgeon, then, annie1? If so, are their opinions exactly the same, or different?

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@lisalucier
I have seen many surgeons and they all say I need fusion, but they are proposing different types, that is anything from a six hour surgery AlIF and posterior fusion(360) to three level fusion. One well known surgeon who didn't want to treat me because I lived too far from his hospital only proposed two levels.
I am also worried that since I have had stenosis since late 2016 I have caused nerve damage, but I have osteoporosis and in the beginning some of the surgeons didn't even test for that, so maybe it's good I didn't have fusion at that early point. I have been on Evenity now for a year so I would be at the optimal point for fusion, but I still have osteoporosis in some areas.

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I wish I could answer your questions. I am chiming in here. How can fusion help stenosis anyway? I sort of understand how it can help spondylosthesis.

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