I have a 13 y/o female patient with traumatic bilateral L5 pars fracture and grade 1+ spondylolisthesis that shifts with flexion / extension and is causing extreme pain in her low back radiating into her legs. Unless I can start to reduce the spondy and pain, she will undergo spinal surgery to stabilize the segment in about 2 weeks. The surgeon is doubtful this will reduce the pain. She cannot tolerate decompression traction due to reactive muscle spasm and can handle only moderate (25#) anterior abdominal weighting because of flash-backs to the trauma (repeated sexual abuse for which she is getting counseling). I am considering adding vibration and/or rocking in a 90-90 position to the weighting to see if the L5 will shift at least partially back into place. Does anybody have experience and suggestions with such a case? Thanks, Dr. Rick Allen, DC
Portland Oregon 503-257-1324 and
Trout Lake Washington 509-395-0024

My brothers son had a traumatic bilateral L5 pars fracture with instability and pain, 12 year old. we had an MRI done to confirm the acute nature of the spondy which it did. we had a pediatric orthopedic surgeon brace him, like a pelvic cast and we are currently awaiting results on the potential healing of the pars, his pain has completely subsided. I felt any chiropractic treatment was contraindicated and encouraged casting and immobilizing the area.
Dr Brian T Dovorany (920) 437-3370

I would use the L5 spondy block (2") with the VT at L1- T12.
The spindy exercises, #2 Low Back adjusting.
Correct the cervical spine!
Spondy surgery is only effective 8% of the time.
Dennis

The spindy exercises

OOPS - SPONDY Exercises!