For posterior spinal decompression surgery to aggravate Spondylolysis or Spondylolisthesis, signs/symptoms of Spondylolysis or Spondylolisthesis should occur within 10 years of the surgery.
Sciatica refers to the feeling of symptoms traveling down the lower extremities which results from pressure on a nerve, usually as the nerve courses through the lumbar spine or as it leaves the lumbar spine. It is more of a symptom than a diagnosis. We consider it a symptom because it is what the patient might feel subjectively traveling down the leg.
Spondylolisthesis Treatment, Surgery & Symptoms
Traumatic cervical myelopathy with spinal canal stenosis is usually diagnostic at the time of the trauma or is the result of acute disc herniation. The symptoms can be the same as cervical myelopathy caused from degenerative conditions.
Cervical Stenosis, Myelopathy and Radiculopathy
Early diagnosis may be vital if we are to initiate treatment at the inflammatory stage (Aldrete 2000). Recognition and sustained follow-up of the transient conditions Transient Root Irritation (TRI), and Cauda Equina Syndrome (CES) may in fact lead us to uncover further cases of arachnoiditis.
There are papers which suggest early warning signs: Auld et al (1978) looked at 25 patients who developed spinal radiculopathy after surgery. In 7 of the patients, there was a post-operative syndrome lasting 3-20 days, involving leg spasms, radicular pain and chills. Although these resolved, all 7 went on to develop arachnoiditis.
Gutknecht (1987) wrote a letter to report a case of acute aseptic meningitis following epidural steroid injection. In this particular case, dural puncture was likely as CT scan of the brain showed air droplets in the subarachnoid space. In cases like this, one might expect longer-term sequelae.
The author has been involved for a number of years with a patient who has a similar history. She initially presented with low back pain without radiculopathy and was treated with epidural steroid injection under anaesthetic, with sacroiliac joint injection and manipulation. The first treatment was unsuccessful and it was repeated. It seems in hindsight that the second injection caused a dural puncture, because the patient went on to develop not only an epidural abscess but also meningitis, although regrettably a third injection was administered despite the patient being febrile (CT scan showed a similar picture to Gutknecht’s patient). Nine years later, she now has extensive arachnoiditis and is considerably disabled with widespread dysaesthetic pain, problems with balance, etc.
Generally speaking, the typical course of the condition tends to be one or more interchangeable phases:
28/12/2017 · What is neck pain (cervical pain)
Signs/symptoms of Spondylolisthesis and/or Spondylolysis at the time of the repetitive trauma, or within 2 to 3 days of cessation of the trauma;
The cervical spine is a marvelous and complex structure
In Spondylolisthesis with a significant slip, a step-off at the lumbosacral junction is palpable, motion of the lumbar spine is restricted, and hamstring tightness is evident on straight leg raising. As the vertebral body displaces anteriorly, the individual assumes a lordotic posture above the level of the slip to compensate for the displacement. Adults may have objective signs of nerve root compression, such as motor weakness, reflex change, or sensory deficit. These signs are seldom seen in children.