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Slippage of one vertebra upon another

Symptoms due to Slippage of one vertebra upon another.

Back pain ± leg discomfort / pins & needles / pain aggravated by twisting / rotation / flexion /extension

Presentation	Diagnosis	Options
Gradual & repetitive increase in symptoms that gradually worsen especially	Degenerative Spondylolisthesis Loss of disc heights with slippage forwards or backwards of the upper vertebra.	Muscle Balance Physiotherapy with correction of posture, improved inter-body alignment and curves in the spine (overarching or flat back postures) Conservative Care.

Intrusive symptoms impair work or retirement / social activities	Weight bearing X-rays & MRI scan	Endoscopic Lumbar Decompression & Foraminoplasty / Open Decompression / Fusion
Middle aged onset with buttock pain ± back / leg pain	Spondylolytic Spondylolisthesis (Initially a childhood spine fracture allows slippage to occur)	Endoscopic Lumbar Decompression & Foraminoplasty / Fusion with correction of malalignment.