Symptoms
- Back pain ± leg discomfort / pins & needles / pain aggravated by twisting / rotation / flexion /extension
Diagnosis
| 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. |