{"id":585,"date":"2018-10-04T07:38:46","date_gmt":"2018-10-04T07:38:46","guid":{"rendered":"https:\/\/doctoraugustocovaro.com\/espondilolistesis\/"},"modified":"2018-11-06T15:48:56","modified_gmt":"2018-11-06T15:48:56","slug":"espondilolistesis","status":"publish","type":"page","link":"https:\/\/doctoraugustocovaro.com\/en\/espondilolistesis\/","title":{"rendered":"Spondylolisthesis"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_empty_space][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<span style=\"font-weight: 400;\">The most frequent in clinical practice are:<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">&#8211; <strong>Spondylolitesis due to spondylolysis: It usually appears during the young age<\/strong>. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Its main symptoms are the chronic lumbar pain or radicular irradiated pain due to the involvement of the L5 root in the foramen of conjunction. The predisposing factors are: column morphology (pelvic incidence) and bone stress on the pars interarticularis due to functional demand. They are classified according to the degree of displacement (Meyerding degrees)<\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text]<span style=\"font-weight: 400;\">&#8211; <strong>Degenerative spondylolisthesis:<\/strong> it is more frequent in women in segment L4-L5. It is produced by the secondary instability to the joint degenerative changes in L4-L5 and can result in a secondary spinal canal stenosis. Clinically, it is characterized by low back pain accompanied by neuropathic pain irradiated to the lower limbs.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">In case the symptoms can not be controlled by physiotherapy, physical exercise, analgesia and infiltrations, surgery could be recommended.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The surgical technique will depend in each case on the type of spondylolitesitis, its degree and the neurological compromise.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_video link=&#8221;https:\/\/youtu.be\/SXa7dRn1Qrs&#8221; align=&#8221;right&#8221;][vc_empty_space]<a  itemprop=\"url\" href=\"https:\/\/ecitydoc.com\/download\/reparacion-de-la-espondilolisis-con-la-tecnica-smiley-face_pdf\" target=\"_blank\"  class=\"qbutton  default\" style=\"\">Spondylolysis repair with the ``smiley face`` technique<\/a>[\/vc_column_inner][\/vc_row_inner][vc_empty_space height=&#8221;50px&#8221;][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column]<div class=\"qode-advanced-image-gallery  qode-aig-grid-type qode-large-space qode-has-shadow qode-image-behavior-lightbox \">\n\t<div class=\"qode-aig-inner qode-outer-space qode-aig-grid qode-aig-three-columns\">\n\t\t\t\t\t<div class=\"qode-aig-image qode-item-space\">\n\t\t\t\t<div class=\"qode-aig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qode-aig-lightbox\" href=\"https:\/\/doctoraugustocovaro.com\/wp-content\/uploads\/2018\/10\/ELS-alto-grado.-Tecnica-de-Abdou-modificado-1.png\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-557]\" title=\"ELS alto grado. Tecnica de Abdou modificado\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/doctoraugustocovaro.com\/wp-content\/uploads\/2018\/10\/ELS-alto-grado.-Tecnica-de-Abdou-modificado-1-400x300.png\" alt=\"\" width=\"400\" height=\"300\" \/>\t\t\t\t\t\t<span class=\"aig-gallery-hover\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"icon-arrows-plus\"><\/span> \n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qode-aig-image qode-item-space\">\n\t\t\t\t<div class=\"qode-aig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qode-aig-lightbox\" href=\"https:\/\/doctoraugustocovaro.com\/wp-content\/uploads\/2018\/10\/ELS-bajo-grado.-Artrodesis-PL-1.png\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-557]\" title=\"ELS bajo grado. Artrodesis PL\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/doctoraugustocovaro.com\/wp-content\/uploads\/2018\/10\/ELS-bajo-grado.-Artrodesis-PL-1-400x300.png\" alt=\"\" width=\"400\" height=\"300\" \/>\t\t\t\t\t\t<span class=\"aig-gallery-hover\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"icon-arrows-plus\"><\/span> \n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qode-aig-image qode-item-space\">\n\t\t\t\t<div class=\"qode-aig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qode-aig-lightbox\" href=\"https:\/\/doctoraugustocovaro.com\/wp-content\/uploads\/2018\/10\/TLIF-L4-L5-1.png\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-557]\" title=\"TLIF L4-L5\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/doctoraugustocovaro.com\/wp-content\/uploads\/2018\/10\/TLIF-L4-L5-1-400x300.png\" alt=\"\" width=\"400\" height=\"300\" \/>\t\t\t\t\t\t<span class=\"aig-gallery-hover\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"icon-arrows-plus\"><\/span> \n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_empty_space][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]The most frequent in clinical practice are: &nbsp; &#8211; Spondylolitesis due to spondylolysis: It usually appears during the young age. Its main symptoms are the chronic lumbar pain or radicular irradiated pain due&#8230;<\/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-585","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/pages\/585\/"}],"collection":[{"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/pages\/"}],"about":[{"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/types\/page\/"}],"author":[{"embeddable":true,"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/users\/1\/"}],"replies":[{"embeddable":true,"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/comments\/?post=585"}],"version-history":[{"count":2,"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/pages\/585\/revisions\/"}],"predecessor-version":[{"id":586,"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/pages\/585\/revisions\/586\/"}],"wp:attachment":[{"href":"https:\/\/doctoraugustocovaro.com\/en\/wp-json\/wp\/v2\/media\/?parent=585"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}