Spondylolisthesis

Spondylolisthesis occurs when one vertebra slips forward over the bone below it. This spinal instability can compress spinal nerves, leading to lower back pain, nerve irritation, and reduced mobility.

Symptoms

• Lower back pain or stiffness, especially after exercise
• Radiating pain, numbness, or tingling in the buttocks, thighs, or legs (sciatica)
• Muscle tightness in the hamstrings
• Difficulty standing or walking for extended periods

Causes

• Degenerative changes: Wear and tear on spinal joints due to aging
• Spondylolysis: Stress fractures in the vertebrae
• Congenital defects: Abnormal spinal formation present from birth
• Trauma: Sudden spinal injury or force

Risk Factors

• Participation in high-impact sports (gymnastics, football, weightlifting)
• Aging and natural spinal degeneration
• Family history of spinal conditions

Diagnosis

Premier Orthopaedics specialists diagnose spondylolisthesis through a physical evaluation, neurological assessment, and advanced imaging such as X-rays, MRI, or CT scans to measure the severity of the slip.

Treatment

• Non-Surgical: Physical therapy, anti-inflammatory medications, spinal bracing, and targeted injections.
• Surgical Options: Minimally invasive spinal fusion or decompression to stabilize the spine when conservative care isn't enough.