What Is Spondylolisthesis?

Spondylolisthesis occurs when one vertebra moves forward or backward over the one below it.

This may result in:

·       Spinal instability

·       Nerve compression

·       Back or leg pain

Causes

Common causes include:

·       Age-related degeneration

·       Ligament weakness

·       Spinal injuries

·       Congenital conditions

·       Repetitive strain

Symptoms

Symptoms vary depending on severity and may include:

·       Lower back pain

·       Pain radiating to the legs

·       Numbness or tingling

·       Muscle weakness

·       Feeling of instability

·       Difficulty walking in advanced cases

Some patients may have minimal or no symptoms.

Diagnosis

Diagnosis includes:

·       Physical examination

·       X-rays to assess vertebral movement

·       MRI to evaluate nerve involvement

Accurate diagnosis is essential for proper treatment.

Treatment Options

Treatment depends on severity:

Non-Surgical Treatment

·       Medications

·       Physical therapy

·       Strengthening exercises

·       Lifestyle modification

Surgical Treatment

In advanced cases or when nerves are compressed:

Goals of surgery:

·       Stabilize the spine

·       Relieve nerve pressure

·       Restore spinal alignment

Procedures may include:

·       Spinal fixation using screws and rods

·       Decompression of nerves

Treatment is tailored to each patient.

Is Surgery Always Required?

No.
Many patients improve with non-surgical treatment. Surgery is considered when symptoms are severe or progressive.

Importance of Early Diagnosis

Early diagnosis helps:

·       Prevent progression

·       Reduce pain

·       Improve outcomes

A Message to Patients

If you experience persistent back pain or neurological symptoms,
early evaluation can help identify the condition and guide the most appropriate treatment.