back pain

[TwilightAngel]

I just had an xray  and was told I have Spina bifida occulta at the s1 location, with slight retrolisthesis on l5 and s1 associated with disk space narrowing.. I have no idea what all this means except the spina bifida occulta, it has been causing me severe pain the past few weeks and the only treatment I have received so far is my chiropractor trying to aligned my spine. but am still having a lot of pain when sleeping or sitting down or walking. I would like to be able to understand this problem better so I know what type of treatment I should be seeking,

thanks

[TwilightAngel]

thanks for the reply so fast dr simran, I will be calling my orthopedic doctor today.. and see what he says and show him the xrays.

[dr_simran]

Hello Dear,
Retrolisthesis is the relative posterior displacement of vertebra on the one below it. Retrolisthesis is the result of degenerative disc changes. Indications for surgery are based on severity and duration of symptoms and a neurologic deficit rather than on degree of slip. Also, if there is an obvious increase in deformity, surgery is indicated.

The pinch occurs due to buckling of the post longitudingal ligament and narrowing of the spinal canal as a result of displacement of the two vertebra. Treatment initially is activity modification and meds for pain control. If the pain is unrelenting despite best efforts or if a progressive neurologic deficit develops, then surgery may be indicated.
You should get an eveluation done from an orthopedic physician.

http://www.spine-surgery.com/327_359.htm

Best