Spine Condition

Spondylolisthesis

Vertebral slippage causing spinal instability - treatment focuses on restoring stability and relieving nerve compression.

What is Spondylolisthesis?

Understanding Vertebral Slippage

Spondylolisthesis is the forward slippage of one vertebra relative to the vertebra below it. This can occur due to a defect in the bone (isthmic) or degenerative changes (degenerative). The fundamental issue is spinal instability.

Treatment plans are designed to restore neural space and stabilize the slipped segment. The degree of slip, symptoms, and patient factors all influence the treatment approach.

Types of Spondylolisthesis

Different causes require different treatment approaches

Isthmic Spondylolisthesis
Due to defect in the pars interarticularis
  • Pars Defect

    Fracture or defect in bone connecting facet joints

  • Common at L5-S1

    Most frequently affects lowest lumbar level

  • Sports Related

    Often seen in athletes with repetitive stress

  • Younger Patients

    Typically affects adolescents and young adults

Degenerative Spondylolisthesis
Due to age-related changes and arthritis
  • Facet Arthritis

    Degeneration of facet joints causing instability

  • Disc Degeneration

    Loss of disc height contributing to slippage

  • Ligament Laxity

    Weakening of supporting ligaments

  • Older Patients

    Typically affects adults over 50

Symptoms & Impact

Symptoms vary based on severity and nerve involvement

Mechanical Symptoms
Pain related to spinal instability
  • Lower back pain with movement
  • Pain that worsens with standing or walking
  • Relief with sitting or lying down
  • Difficulty with certain activities
Neurological Symptoms
Symptoms related to nerve compression
  • Leg pain or numbness
  • Weakness in legs or feet
  • Difficulty with balance
  • Changes in walking pattern

Diagnosis & Evaluation

Comprehensive assessment to determine slip severity and stability

Clinical Assessment
Thorough examination focusing on stability and nerve function
  • Detailed pain history and symptom assessment
  • Physical examination for instability signs
  • Neurological examination for nerve damage
  • Assessment of walking and balance
Imaging Studies
Advanced imaging to assess slip severity and stability
  • X-rays to measure slip percentage and angle
  • MRI to assess nerve compression and disc health
  • CT scans for detailed bone anatomy
  • Dynamic imaging to assess instability

Treatment Options

From conservative care to surgical stabilization

Conservative Treatment
Non-surgical approaches for mild cases
  • Physical therapy and core strengthening
  • Pain management and anti-inflammatory medications
  • Activity modification and bracing
  • Regular monitoring and follow-up
Surgical Treatment
Surgical options when conservative treatment fails

Decompression

Relieving nerve compression when present

Spinal Fusion

Stabilizing the slipped segment

Minimally Invasive Techniques

Smaller incisions and faster recovery

Get Expert Evaluation

Spondylolisthesis can cause significant pain and instability. Get a comprehensive evaluation to determine the best treatment approach for your specific case.