Christopher Silveri MD

Christopher P. Silveri, M.D.FAAOS

Board Certified Orthopaedic Surgeon : Spine View Profile
  • I would like to express my sincere appreciation for keeping me up and running. By - Martha Howar

  • After suffering back pain for over 50 years the pain it became unbearable. By - Bob Vandel

  • Dr Silveri performed the first case using the O-Arm 3-D Imaging at Fair Oaks Hospital. Exciting New Technology

  • Thanks for the GREAT WORK! Double Fusion Feb 4, 2003 MARATHON October 30, 2005 By - Tim Bergen

  • Ballroom Dancer Fully Recovers from Back Surgery,A Laminectomy and Three Vertebra Fusion By - Tom Woll

  • Thanks Dr. Silveri.

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Spondylolisthesis

Spondylolisthesis

Spondylolisthesis is the displacement of vertebral disc from the spinal column. Outward (forward) displacement is termed as anterolisthesis and inward (backward) displacement is termed as retrolisthesis. This condition is often preceded by spondylolysis, a degenerative condition of the vertebra.

Based on the cause of displacement, five subtypes of spondylolisthesis are identified, they are

  • Dysplastic spondylolisthesis
  • Isthmic spondylolisthesis
  • Degenerative spondylolisthesis
  • Traumatic spondylolisthesis
  • Pathologic spondylolisthesis

Among the various subtypes of spondylolisthesis, the two most common forms commonly observed are dysplastic spondylolisthesis and isthmic spondylolisthesis

Dysplastic spondylolisthesis – This subtype is a congenital condition, present at birth, and is caused because of abnormal bone formation of the facet part of the vertebra resulting in spondylolisthesis.

Isthmic spondylolisthesis – This type of spondylolisthesis occurs because of a defect in the pars interarticularis part of the vertebra.  This is more common in athletes and gymnasts as they often suffer from overuse injuries.

Signs and symptoms that suggest the spondylolisthesis in patients include:

  • Lower back pain
  • Stiffness in the back and tightening of the hamstring muscles from spasms
  • Pain in the thighs and buttocks
  • Decreased range of motion of the lower back
  • Pain and weakness of the legs or numbness because of nerve compression
  • Loss of control on bowel or bladder function by severe nerve compression
  • Increase in lordosis curve, also called swayback
  • Kyphosis (round back)

The cause for spondylolisthesis is multifactorial; the common causes are overuse injuries of spine, congenital abnormalities, trauma, bone disorders, and fractures.

Treatment for spondylolisthesis is based on the diagnosis made by collecting medical & family history, physical examination, and radiographic scans. During the diagnosis, also the severity of displacement is assessed which is expressed as grade I to IV. In mild conditions and for symptomatic relief, conservative treatments including medications, bracing and physical therapy are recommended. In severe cases, surgical correction with decompression laminectomy followed by spinal fusion is recommended. The procedure involves removal of a portion of vertebra compressing the nerves and other vertebra followed by removal of disc between the vertebrae and fusion of adjacent vertebrae. Fusion surgery is performed to confer stability to the spine. Following the surgery, your surgeon recommends physical therapy and rehabilitation programs to regain strength to the surrounding bones & muscles as well as to make you active soon.

  • Penn Medicine
  • American  Association of Orthopaedic Surgeons
  •  American Board of Orthopaedic Surgery
  • North American Spine Society
  • Georgetown University