Spondylolisthesis

Spondylolisthesis occurs when one vertebra slips forward over the bone below it, most often in the lower back. It ranges from mild slips that cause no problems to more significant slips that press on nearby nerves.

Signs & Symptoms

  • Lower back pain, often worse with standing or activity and relieved by sitting
  • Tightness in the hamstring muscles
  • Pain, numbness, or tingling that radiates into the buttocks or legs if a nerve is affected

Causes & Risk Factors

Spondylolisthesis can result from a stress fracture in a young athlete, age-related degeneration of the spine’s joints and discs, or, less commonly, a defect in the spine present from birth. Repetitive stress from certain sports increases risk in younger patients.

Diagnosis

Diagnosis typically involves a physical exam and imaging, usually an X-ray, to see the degree of slippage; an MRI may be used if nerve involvement is suspected.

Treatment Options

Many cases are managed with activity modification, physical therapy, and bracing. For slips that progress or cause ongoing nerve symptoms, surgical stabilization may be recommended.


This information is for general education and isn’t a diagnosis or medical advice. To find out what’s right for you, request an appointment or call 810-262-7030.