Dr. Jeffrey Landsman is Board Certified in Family Medicine and Geriatrics, providing care for patients 18 and older.
Knee replacement surgery is offered at Mercy Medical Center in Baltimore. The orthopedic team at Orthopedics and Joint Replacement at Mercy offer innovative technology for knee replacement surgery.
The Institute for Foot and Ankle Reconstruction at Mercy offers a top rated team of surgeons, dedicated to advanced treatments of common and complex foot and ankle disorders.
Mercy offers emergency care on the Downtown Baltimore campus 24 hours a day, 7 days a week (410-332-9477) with access to a trained emergency medicine team, diagnostic services and consultations with specialists.
In case of an Emergency, Dial 911 and follow the instructions of the EMS (Emergency Medical Services) team.
Mercy Medical Center's downtown campus includes our Main Hospital - The Mary Catherine Bunting Center, McAuley Plaza and The Weinberg Center.
General visiting hours at Mercy are 11:00 am to 8:30 pm. Hours vary by floor, please check with the nursing staff or call 410-332-9555.
The spine surgeons at The Maryland Spine Center at Mercy in Baltimore treat children and adults with all types of spondylolisthesis, including stress fracture and degenerative. Our renowned team of spine specialists draws on their years of innovative experience to offer patients advanced treatment options coupled with compassionate care.
Spondylolisthesis or slippage of the spine can be caused by a stress fracture in the lower back that occurred in childhood but never completely healed. This fracture is called spondylolysis. In most cases, this bone defect does not cause ongoing symptoms and is often unrecognized until later in life. The fracture produces weakness within the spinal column and in some cases leads to premature disc degeneration at the base of the spine. As the disc wears out, the fractured vertebra shifts forward out of alignment.
Typically, the slip occurs between the lowest lumbar vertebra (L5) and the sacrum, but can occur at other levels within the spine. The disc degeneration and associated arthritic changes often cause nerve compression and irritation.
Adolescents or adults who had a stress fracture as a child can experience of the following spondylolisthesis symptoms:
In the worst cases, the lumbar spine dislocates over the front of the sacrum, a condition known as spondyloptosis (spine dislocation), causing patients to lose height between their rib cage and pelvis until their ribs rest upon their pelvis. Their rib cage projects in front of their pelvis, their buttocks are flattened, and they walk with a crouched posture.
Treatment options for patients with spondylolisthesis include:
Patients with persistent low back pain, nerve irritation and/or progression of the slip, require surgery in order to provide a more lasting relief and return to normal activities. When symptoms persist in children and young adults with stress fractures without vertebra shifting, a fracture repair procedure alone is often possible. For more cases with nerve compression and spondylolisthesis, a minimally invasive fusion procedure provides relief of the nerve compression and stabilization of the shifted vertebrae.
Our doctors have developed advanced surgical methods based upon stress relaxation to restore normal spinal alignment, trunk height, and body proportions. The preferred method of surgery is performed through one midline back incision. Anterior surgery (across the abdomen) is not required. Both fusion rates and spine biomechanics are enhanced by restoring the normal alignment of the spine. Clinical research with over 10-year follow-up has documented long-term clinical success with these procedures.
The Maryland Spine Center at Mercy Medical Center in Baltimore, Maryland, features some of the best spine experts of the Mid-Atlantic region dedicated to the diagnosis and treatment of complex spine disorders, including scoliosis, osteoarthritis, stenosis, degenerative disc disease and spondylolisthesis. Our doctors at The Maryland Spine Center work with each patient to determine the most effective and minimally invasive treatments available while offering an atmosphere of care and support. Mercy Medical Center is proud to have been named a Best National Hospital in Orthopedics by U.S. News & World Report.
The Maryland Spine Center is part of The Orthopedic Specialty Hospital at Mercy Medical Center.
Dr. Mara Vucich is a physiatrist, or doctor of physical and rehabilitative medicine, who treats patients with spine conditions including arthritis, spinal stenosis, degeneration of the spine, back and neck strains and disc herniations.
Michele had trouble walking the stairs due to pain from a herniated disc. Minimally invasive surgery helped eliminate her pain.