Slippage of One Vertebra Upon Another

 

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.