Spondylolisthesis
π What Actually Happens?
The vertebra doesn't move alone.
In cases like L5 spondylolisthesis, all vertebrae and structures above L5 shift forward.
Meanwhile, the sacrum and pelvis remain behind, leading to spinal misalignment.
π Types of Spondylolisthesis
Broadly classified into:
Developmental (Congenital) β Occurs during growth years.
Acquired (Degenerative or Traumatic) β Seen later in life due to wear, injury, or age-related degeneration.
β οΈ Symptoms Vary by Type
1. Developmental Type
Chronic back pain
Hamstring tightness (thigh muscle stiffness)
Postural problems (e.g., swayback appearance)
2. Degenerative Type
Difficulty in walking
Calf pain or cramps
Numbness or weakness in legs or feet (nerve compression)
Worsening with prolonged standing or walking
π§ͺ Diagnosis
X-rays confirm slippage grade.
MRI helps assess nerve involvement and the extent of compression.
π Treatment Options
π’ Conservative Management (for mild or stable cases)
Lumbosacral support belts
Short-term rest
Pain relief medications
Physiotherapy and postural correction
π΄ Surgical Management (for severe/unresponsive cases)
When conservative treatment fails or symptoms worsen:
β
Surgery with Titanium Screws & Cage Constructs
π§ Realigns the spine
π© Stabilizes with special implants
π§ Relieves pressure on the spinal nerves
π« Prevents further slippage or deformity progression
π₯ Case Example:
π High-grade developmental spondylolisthesis at L5
β
Treated successfully with advanced spinal instrumentation using titanium screw and cage fixation.
(Include surgical before-after images if possible, with captions)
π§ Expert Advice from Dr. VijayKumar D
Every spine is unique. At SV Ortho Care, each spondylolisthesis case is carefully evaluated using clinical examination, radiological scans, and neurological assessment to determine the best treatment approachβwhether non-operative or surgical.
Donβt ignore back pain or nerve symptoms.
Early diagnosis and treatment can prevent permanent nerve damage and help restore your posture, function, and confidence.