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Spondylolisthesis

Spondylolisthesis · Spondylolistéza (posun obratle)

What it is

One vertebra slips forward on the one below — from a stress fracture in young athletes or worn facet joints in older people — and can pinch nerves.

Symptoms & signs

  • Low back pain, worse standing and bending backwards
  • tight hamstrings
  • pain down the legs
  • heavy legs on walking that ease on sitting
  • a step felt in the spine

🚩 Get help if…

  • call 112 / 911 now Numbness around the bottom or genitals, or loss of bladder or bowel control
  • call 112 / 911 now Weakness in both legs
  • see a doctor soon Leg weakness, foot drop or numbness getting worse
  • see a doctor soon Back pain with fever, weight loss or night pain

Where it strikes

Medical treatment

  • Standing and bending X-rays
  • physiotherapy and core strengthening
  • pain relief and epidural injection
  • a brace in adolescents
  • decompression and fusion if nerves are compressed or it progresses

Natural & lifestyle

  • Core and hip exercises
  • avoid repeated back-arching sport while painful
  • weight loss

Emerging & experimental

  • Minimally invasive fusion
  • direct repair of the fracture in the young

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Chiropractic manipulation — modest benefit in low back pain trials; avoid thrusts at an unstable level mixed evidence
  • Pilates and yoga — small studies ease pain early / small studies
  • Inversion tables — anecdotal anecdotal / traditional

ICD codes