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non-surgical options for adolescent spondylolysis in New York?
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dsgny posted:
- 15 yo athletic son has had 10 months of Left lower back pain. MRIs & xrays showed left spondylolysis in June, and now bilateral, complete fracture but still marrow edema. Also disc herniation L5-S1.
- He's been in a lumbar corset for 6 months and stopped playing competitively 10 months ago, and suspended all athletic activity 6 months ago. He's been recommended by one orthopedist for PLIF fusion.
- We'd really like to find out what non-surgical options are available and are considering (1) cortico-steroid injections to reduce inflammation around pars defect (Might the spondylolysis heal?) (2) prolotherapy (3) sonocur shockwave therapy. Does anyone know if any of these might effective?
- Are there any other options we should be considering?
- If we end up with the surgery, we're also trying to understand the differences between TLIF & PLIF as different surgeons seem to recommend one or the other, either open or Minimally Invasive. Thanks so much. :Dani, NYC
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bj1208 responded:
hi and welcome to the support group -

I will give you some sites to review and research -

the first is in answer to the differences between TLIF and PLIF fusion surgeries -

http://www.spine-health.com/treatment/spinal-fusion/transforaminal-lumbar-interbody-fusion-tlif-back-surgery

the above site is TLIF which fuses the anterior (front) and posterior (back) columns of the spine through a single posterior approach. meaning the entry for fusion is done both front (stomach) and back.


http://www.spine-health.com/treatment/spinal-fusion/posterior-lumbar-interbody-fusion-plif-surgery


the above site is PLIF which entry is done through the back


as for the spondylolysis this site explains what happens and if it worsens by fracture etc and what treatments may be done:


http://orthoinfo.aaos.org/topic.cfm?topic=a00053


from reading some of this site, it would appear that what your son has already done is listed in the treatment part of this site.


From what you have describe and what shows up on the film reports show this has gotten worse. The next step may be surgery to help stabilize the spine. It would be good to get a couple more opinions from both Orthopedic Spine Specialist and Neurosurgeon Spine Specialist.


hope this helps - please keep us posted -
~~ Click on my name or picture and read my story ~~

Take care ~~ God Bless ~~

~~ Joy ~~


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