There are five types of spondylolisthesis

Conservative therapy for mild spondylolisthesis is successful in about 80% of cases. When necessary, surgery leads to satisfactory results in 85 - 90% of people with severe, painful spondylolisthesis.

How Is Spondylolisthesis Diagnosed?

Surgical procedures that may be recommended for the treatment of Spondylolisthesis include

T1 - Conservative management of spondylolysis and spondylolisthesis

The most common type of spondylolisthesis in the younger population is Isthmic, whereas in the older population the degenerative type is more common. Some individuals may have a spondylolisthesis, but with no symptoms and others may have , made worse by extension of the spine.

T1 - A clinical study of degenerative spondylolisthesis

Data from the Spine Outcomes Research Trial (SPORT) study were analyzed to determine if duration of symptoms affects outcomes after treatment of spinal stenosis or degenerative spondylolisthesis.[14] In spinal stenosis patients with symptoms for more than 12 months, outcomes were worse compared with spinal stenosis patients with symptoms for fewer than 12 months, who experienced significantly better surgical and nonsurgical treatment outcomes. On the same basis of symptom duration before treatment, no differences were noted in outcomes for degenerative spondylolisthesis patients.


Pathologic spondylolisthesis; ..

The building blocks of a human spine are bones called vertebra. A human spine is made up of 33 vertebrae; 24 are mobile and 9 are fused.

A spondylolisthesis is the forward or backwards displacement of one of these mobile vertebrae, in relation to the one below.

Forward slippage of one vertebra on another is referred to as anterolisthesis, while backward slippage is referred to as retrolisthesis. The most common level for a spondylolistheis in the spine is the fifth and lowest lumbar vertebra.

The most widely used classification system of spondylolisthesis was developed by Wiltse et al in 1976. This system described five distinct types of spondylolisthesis:

forefront in clinical research and treatment of Spondylolisthesis

AB - Spondylolysis and spondylolisthesis are pathologic defects that can cause low back pain. While they are often asymptomatic, a thorough radiologic evaluation and correlation with the clinical presentation is necessary to guide appropriate intervention. The physician[U+05F3]s role in these cases is a timely diagnosis, treatment, and follow-up given the risk of progression that accompanies this type of pathology. Conservative management is currently the first-line for many instances of mild-to-moderate spondylolysis and spondylolisthesis, with the goal of pain relief and return of function.

Spondylolysis & Spondylolisthesis - USC Spine Center

What are the symptoms?
The most common symptom of a spondylolisthesis is . This is often worse after exercise, especially with extension of the lumbar spine. Other symptoms include tightness of the hamstrings and decreased range of motion of the lower back. Some patients can develop pain, numbness, tingling or weakness in the legs due to the anterior slippage of the vertebra causing nerve compression. Severe compression of the nerves can cause loss of control over bowel or bladder function, or cauda equine syndrome, although this is extremely rare.

Home / Conditions Treated / Spondylolysis & Spondylolisthesis

The results on isthmic-type spondylolisthesis have been the most promising. Most investigators report a 75-95% rate of good-to-excellent outcome. Most patients undergoing surgery report an improvement in the quality of life and level of pain. Surprisingly, the outcome in most studies does not correlate with the degree of spondylolisthesis or the slip angle. Some long-term follow-up studies support conservative treatment of asymptomatic children and teenagers with spondylolisthesis (type I or II), regardless of the grade; however, most investigators advocate fusion when the slip is symptomatic, unresponsive to conservative measures, or high-grade.

Spondylolisthesis Fort Worth TX | Spinal Disorder Irving

The patient with degenerative spondylolisthesis is typically older and presents with back pain, radiculopathy, neurogenic claudication, or a combination of these symptoms. The slip is most common at L4-5 and less common at L3-4. The radicular symptoms often result from lateral recess stenosis from facet and ligamentous hypertrophy, disk herniation, or both. The L5 nerve root is affected most commonly and causes weakness of the extensor hallucis longus. Concomitant central stenosis and neurogenic claudication may or may not exist.