Congenital spondylolisthesis is most common at the L5-S1 level and is due abnormal bone formation during development. But it usually becomes symptomatic at teen age when there is a growth spurt.
Isthmic spondylolisthesis occurs as a result of spondylolysis, a crack or fracture in a part of spine that leads to the weakening of the bone.
Degenerative spondylolisthesis happens due to aging. As age increases, disc, the cushion that protects vertebrae loses water leading to thinning of the disc and abnormal growth of the facet joint leads to slippage of the vertebral bone.
Less common types of spondylolistheses involve-
The diagnosis can be made through a spinal X-ray.
CT scan or MRI scan helps to visualize the bony structures and nerves in the spinal canal in detail.
Non-surgical lower back pain treatment options include–
Rest- Take a break from tiring exercises and sports.
Medications- Non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen or naproxen can bring pain relief.
Local steroid or anesthetic Injections in which the patient is given an injection of steroidal medications directly in the affected joints.
Physical therapy- involves local pain therapy and back strengthening exercises
If you have been advised to undergo Lumbar spondylolisthesis spine surgery, then consult another surgeon for lumbar spondylolisthesis to get a second opinion to explore all the available treatment options.
Symptoms include chronic low back pain, tight hamstrings, and leg pain or numbness. In more severe cases, difficulty walking or standing for long periods occurs. Diagnosis is made with X-rays (especially flexion-extension views to check for instability) and MRI scans to evaluate nerve compression.
No. Mild to moderate spondylolisthesis without significant nerve compression or instability can often be managed with physiotherapy, core strengthening, and pain management. Spinal fusion surgery (PLIF, TLIF) is recommended for cases with progressive slippage, instability, or persistent nerve compression causing disability.
Initial recovery after spinal fusion surgery for spondylolisthesis takes 6–12 weeks, with most patients returning to light activities within 4–6 weeks. Full bone fusion and recovery can take 3–6 months. Physiotherapy rehabilitation is essential for optimal long-term outcomes after fusion surgery.
Department of Neurosurgery - Zulekha Hospital, First Floor - Block B - 204th Rd, Al Nahda - Al Nahda 2 - Dubai
© 2026 All Rights Reserved.
Carefully Crafted By DigeeSell
