Our specialists use a combination of history, physical exam and imaging tests for diagnosis of spondylolysis and spondylolisthesis. These tests include:
- X-Ray
- CT Scan
- MRI (Magnetic Resonance Imaging)
An X-ray (test that creates images of bones) is usually the only test that is needed. These conditions often can be seen on an X-ray. In certain cases, other imaging tests (such as an MRI or a CT scan) may be done to get more information about your child's spine.
In addition to rest and at-home care instructions, there are other ways Children’s Wisconsin experts care for spondylolysis and spondylolisthesis in youth and adolescents including:
- Medications: To help reduce back pain and swelling, medications may be prescribed. These are usually NSAIDs (nonsteroidal anti-inflammatory drugs). These medications include ibuprofen and naproxen. They may be over-the-counter or prescription. Your health care provider will tell you what types and dosage are best for your child. Give these medications to your child only as prescribed.
- Resting the back: This means stopping any activity that stresses the back. Once your child stops having symptoms, he or she can go back to a normal activity level. If a child continues to have symptoms, a small reduction in activity may help.
- Athletic training: Working with the licensed athletic trainer at your school, can help support the rehab and pain management needs as a young athlete goes through the treatment plan for spondylolysis and spondylolisthesis.
- Bracing: Your child may be fitted with a brace to wear for a few weeks to months. This brace takes stress off the spine, allowing symptoms to resolve.
- Chiropractic care: an effective way to treat many types of neck and back pain, as well as headaches, with hands on treatments called adjustments.
- Physical therapy: Stretching and strengthening the muscles around the spine and in the legs can help relieve symptoms due to these conditions. Your doctor may refer your child to a physical therapist (PT) for a course of physical therapy and exercises.
- Surgery: If spondylolisthesis is severe or can't be treated with nonsurgical means, surgery may be done. During surgery, the slipping vertebra is fused to the vertebra below it to prevent further movement.