New York City Spine

For any inquiries call 212-506-0240

Manhattan Office

New York City Spine Surgery, PLLC
343 West 58th Street
New York, NY 10019
Call: 212-506-0240
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NJ Office

New York City Spine Surgery, PLLC
261 James Street, Suite 2G
Morristown,
NJ 07960
Call: 973-998-9651
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The word spondylolisthesis comes from the Greek “spondylos,” meaning “vertebra” and “olisthesis,” meaning “dislocation.” With this condition, one of the vertebrae in the spinal column slips out of alignment and is displaced forward onto the vertebra below. If the vertebra is displaced too far forward, it can narrow the space in the spinal canal as well put pressure on adjacent nerves. The low back (lumbar spine) is most commonly affected. There are several different types of spondylolisthesis. The three most common types are:

Degenerative spondylolisthesis — Generally occurs after age 40 and most commonly seen in female patients over age 60. This type is caused by degenerative changes to the vertebrae/discs. Over time, the discs lose their cushioning effect and become less resistant to movement by adjacent vertebrae. Displaced vertebrae can narrow the space in the spinal canal, leading to spinal stenosis.

Isthmic spondylolisthesis — Most often caused by a stress fracture (crack) to a vertebra. A fracture of the pars interarticularis (small bone that connects the facet joints) can cause the vertebra to disconnect from the facet joints (the hinge-like joints that link the vertebrae together). Sports that involve repetitive stress to the lumbar vertebrae and/or hyperextension of the spine increase the risk for stress fractures and vertebral slip. Weightlifters, football players and gymnasts may suffer from this disorder because of considerable spinal stress. In addition, some individuals are born with slight malformations in the spine, predisposing them to stress fractures.

Congenital spondylolisthesis — This type is present from birth and is caused by abnormal bone formation in the spine. The spinal misalignment puts the vertebrae at greater risk for slipping out of place.

Other, less common types of spondylolisthesis include:

Pathological spondylolisthesis – This condition is brought on by disease (e.g. osteoporosis), infection or abnormal growths (e.g. tumors) that cause bone weakness.

Postsurgical spondylolisthesis – Vertebrae can become displaced as a result of surgery.

Traumatic spondylolisthesis – Direct injury to the spine can cause spinal fractures or displacement of vertebrae.

Not all patients find the condition painful. Some people are symptom-free and only discover the disorder when seeing their doctor for another health problem.
Symptoms of spondylolisthesis may include:

  • Lower back pain – most common symptom
  • Decreased range of motion, i.e. a “stiff” back
  • Low back pain worse after exercise
  • Sciatica
  • Muscle spasms
  • Leg pain, weakness and/or numbness due to nerve compression
  • Tight hamstring muscles
  • Irregular gait or limp

 

***Disclosures

Hospital Affiliations

Outpatient Surgery Centers

Malo Surgery Center 201 Route 17 North 12th floor
Rutherford, NJ 07070
Phone: 201-549-8890
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Midtown Surgery Center 305 East 47th St.
New York, NY 10017
Phone: 212-751-2100
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Advanced Spine Surgery Center 855 Lehigh Ave,
Union, NJ 07083
Phone: 908-557-9420
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Denville Surgery Center LLC3130 Route 10 West
Denville, NJ 07834
Phone: 973-328-3475
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Daveed D. Frazier, MD is the medical director of New York City Spine Surgery PLLC and specializes in non-surgical and minimally invasive surgical treatments for back/neck pain and spine-related disorders. New York City Spine Surgery PLLC has 2 main locations in New York City and New Jersey with the main office located at 343 West 58th Street, New York, NY 10019. Call 212-506-0240 for an appointment at either location. Fax 212-265-0739.