Expert Lumbar Instability Treatment in Dallas, Texas at Texas Minimally Invasive Spine

Spinal instability is the excess mobility of one vertebra on another. This can arise from an injury, or a longstanding degeneration of the joints and ligaments responsible for keeping the spine stable.

Spinal instability is suspected if imaging studies (such as an MRI, a CT, or plain X-rays) show disks or vertebral endplates with evidence of abnormal “wear and tear”, or a frank dislocation (spondylolisthesis) of one vertebra with respect to another.

Imaging studies suggesting instability. Left: Modic changes showing abnormal wear and tear on the disk. Right: A spondylolisthesis, or slippage of one vertebra over the other.

Spinal instability generally causes neck or back pain that worsens with motion. If it is severe enough to cause a disk herniation or stenosis (see above) it can cause arm or leg symptoms as well.

Though conservative nonoperative treatments such as steroidal and nonsteroidal anti-inflammatories, narcotic analgesics, epidural and facet injections, physical therapy, and braces may be helpful in managing symptoms, true instability eventually must be addressed surgically with a fusion procedure such as an ALIFPLF, PLIF, TLIF, or XLIF along with minimally invasive lumbar instrumentation with screws and rods.

For more information about lumbar instability treatments, or to schedule an appointment, call 214-823-2052 or use our easy online form.