Lumbar Spondylolisthesis

Lumbar spondylolisthesis is a condition where there is forward or backward slippage of one lumbar vertebra on an adjacent vertebra.

Causes
Trauma, degenerative, birth defects, infection

Symptoms

• Back pain is predominant, especially while bending or changing he position
• Sciatica
• Numbness/ Weakness in the lower limbs
• Neurogenic Claudication – increase in symptoms when the patient walk for a considerable distance

Diagnosis

• X rays – flexion and extension views
• CT and MRI of the lumbar spine

Treatment

• Conservative treatment – Pain medications, muscle relaxants, physical therapy, bracing (LS Belt). Life style changes – avoiding sports activities and strenuous work is strongly advocated.
• Surgery – Spinal stabilisation with pedicle screws where the adjacent vertebrae are fused, whereby there will be no further slippage of the bones. Surgery can be open or minimally invasive surgery.

Your surgeon will discuss surgical options and suggests you the appropriate treatment plan.