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Conditions

Spine surgery · Spine and nerves

Spondylolisthesis

Understand slippage of one vertebra, its possible effects and care options.

Editorial publication · Medical review pending.

Understand

Spondylolisthesis is forward slippage of one vertebra relative to the bone below, most often in the lower back.

Possible symptoms

It may cause no symptoms or produce low back, buttock or thigh pain, stiffness, sciatica, numbness or weakness.

Causes and associated factors

It can relate to development, a stress fracture, arthritic joint changes, trauma or, less often, bone disease.

Diagnosis

Examination checks pain, movement, hamstring tightness and nerve signs.

Tests

Standing X-rays show the slip; MRI or CT can define nerve compression and anatomy when needed.

Course of the condition

Many cases remain stable and are managed without surgery; the course depends on type, grade and symptoms.

Care options

Activity modification, pain relief, exercise and physiotherapy are offered; fusion or decompression may be discussed when pain or neurological loss persists.

When to consult

Seek assessment for lasting pain, sciatica, weakness or increasing activity limitation.

Urgent help

Rapid leg weakness, saddle numbness or loss of bladder or bowel control requires emergency care.

Questions for your doctor

  • Which spinal structure explains my symptoms?
  • Which tests are actually useful?
  • Which non-surgical options can we try?
  • When would an operation be discussed?
  • Which neurological signs require emergency care?

Continue reading

A procedure linked to a condition does not establish an indication for your individual situation.

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