علاج الانزلاق الفقاري في حالات الانزلاق الفقاري البرزي، درجة ماير-دينج I أو II

References

DOI: 10.25122/jml-2025-0039

• Isthmic spondylolisthesis is primarily associated with a defect or fracture in the pars interarticularis, often caused by repetitive mechanical stress, and frequently progresses from a pre-existing spondylolysis.
• Conservative treatment is typically recommended for patients with low-grade spondylolisthesis (grades I and II), especially those who are asymptomatic or have mild to moderate symptoms without significant neurological deficits.
• For patients with isthmic spondylolisthesis, conservative treatment for three to six months has demonstrated good outcomes, managing most unilateral pars lesions and approximately 50% of bilateral lesions.
• The most generally accepted protocol begins with one to two days of rest and activity modification, followed by administering analgesics or anti-inflammatory medication.
• The first-line treatment for lower back pain associated with spondylolisthesis includes nonsteroidal anti-inflammatory drugs (NSAIDs) and/or analgesics.
• Bracing is usually recommended for acute spondylolysis or early-stage spondylolisthesis in young athletes, especially in sports that involve repeated lumbar hyperextension, such as gymnastics or football.
• The findings demonstrated reduced pain and no evidence of further vertebral slippage.