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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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L4 And L5 Spondolysthesis, Severe Pain. Recommended Surgery. Planning To Conceive. Will Be Safe To Get Pregnant And Carry It?

i am 32 years old having L4 and L5 spondolysthesis planning for a baby, but sometimes i have severe pain and not able to walk also. ortho and spine surgeon recommended for surgery. is it possible for me to carry a baby conceive it properly. going through confussed state. dont know what decision to be taken.. please help and guide
Fri, 19 Jul 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

Not all cases of spondylolisthesis cases needs surgical fixation. Surgery is indicated only for severe grade slips -Grade 3 & 4 with neurological symptoms in legs.

I personally feel that pregnancy is going to have a negative impact on spondylolisthesis in two ways -
* If it is left untreated, pregnancy will cause more worsening of the slip due to mechanical causes (protruberant abdomen causing a dragging effect on the spine column)
* If it is surgically treated by fixation , more load has to be borne by the implants as a result of exaggerated lumbar lordosis during pregnancy. At times, the more load exerted on the implants may result in breakage or pulling out of the screws.

So pregnancy will affect your problem either ways.

I suggest you to postpone your pregnancy and get your problem treated first (this is my personal opinion only).

Hope this information is helpful. Good day
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General & Family Physician,  Dr. Veera Raghava Rao Buddha.'s  Response
Hi, ypu got spondilosthesis, and advised for surgery, more over feeling severe pain, keeping all aside you are planing to conceive, any how i advise you to wait till the surgery is over and physiotherapy is finished and have a pain less days you can plan for a child. Thank you.
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L4 And L5 Spondolysthesis, Severe Pain. Recommended Surgery. Planning To Conceive. Will Be Safe To Get Pregnant And Carry It?

Hi, thanks for writing to HCM. Not all cases of spondylolisthesis cases needs surgical fixation. Surgery is indicated only for severe grade slips -Grade 3 & 4 with neurological symptoms in legs. I personally feel that pregnancy is going to have a negative impact on spondylolisthesis in two ways - * If it is left untreated, pregnancy will cause more worsening of the slip due to mechanical causes (protruberant abdomen causing a dragging effect on the spine column) * If it is surgically treated by fixation , more load has to be borne by the implants as a result of exaggerated lumbar lordosis during pregnancy. At times, the more load exerted on the implants may result in breakage or pulling out of the screws. So pregnancy will affect your problem either ways. I suggest you to postpone your pregnancy and get your problem treated first (this is my personal opinion only). Hope this information is helpful. Good day