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Posted By drrickallen on 27 Dec 2008 01:13 AM
[IMAGE:23]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

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Topic Review

Dennis

Basic Member

01 Jan 2009 09:49 PM
The spindy exercises OOPS - SPONDY Exercises!

Dr. Dennis

Basic Member

01 Jan 2009 09:47 PM
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

dovoranydoc

Basic Member

01 Jan 2009 05:05 PM
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

drrickallen

New Member

27 Dec 2008 07:13 AM
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

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