Spondylolisthesis Treatment

Spondylolisthesis is the slippage of one vertebra relative to another. It most commonly slips forward (anterolisthesis), less often backward (retrolisthesis). This leads to instability of the spinal segment, narrowing of the spinal canal, and compression of neural structures.

Spondylolisthesis occurs in 5-7% of the population, most frequently at the L4-L5 and L5-S1 levels. In athletes (gymnasts, weightlifters), the prevalence reaches 15-40%.

Degrees of slippage (Meyerding):

• Grade I — slippage up to 25% of the vertebral body width
• Grade II — slippage 25-50%
• Grade III — slippage 50-75%
• Grade IV — slippage more than 75%
• Spondyloptosis — complete slippage

Types of spondylolisthesis:

• Isthmus — pars defect (spondylolysis), most common
• Degenerative — due to facet joint osteoarthritis, more common in the elderly
• Dysplastic — congenital anomaly
• Traumatic — after pars fracture

In spondylolisthesis, the main problem is segmental instability. Traditional medicine addresses it with rigid fixation (spinal fusion), but this creates new problems: loss of mobility and overload of adjacent segments. MIBRAR® creates biological stabilization — strengthens the natural stabilizers of the spine.

Mechanism of biological stabilization:

1. Strengthening of the ligamentous apparatus — growth factors stimulate collagen synthesis in longitudinal ligaments, interspinous and supraspinous ligaments, increasing their tear strength
2. Disc regeneration — restoration of disc height and elasticity in the listhesis zone improves load distribution and reduces pathological displacement
3. Treatment of facet joints — reduction of osteoarthritis and inflammation of facet joints, which are key stabilizers of the posterior support complex
4. Anti-inflammatory effect — reduction of chronic inflammation in the instability zone, which accelerates tissue destruction

Result: the spinal segment is stabilized biologically — ligaments become stronger, the disc regenerates, joints stop inflaming. Mobility is fully preserved, unlike spinal fusion.