Spondylolisthesis occurs when one vertebra in the spine slips forward or backward.

What causes spondylolisthesis?

Spondylolisthesis may be caused by a defect in the bone or surrounding tissue, trauma, or degenerative changes.

What does it feel like?

The most common symptom is low back pain, which will often get worse with activity. Some people also experience numbness, tingling, or pain in the lower extremities. Others may have decreased range of motion in the lower back.

How do I know if I have spondylolisthesis?

Spondylolisthesis can be easily diagnosed with lateral x-rays of the spine. A magnetic resonance imaging (MRI) scan can reveal nerve-root compression.

How is spondylolisthesis treated?

Treatment of spondylolisthesis depends on the severity of the symptoms it is causing. Treatment options include:

• Rest and avoiding strenuous activity
• Physical therapy to increase range of motion
• Medications such as anti-inflammatory drugs to reduce inflammation in the affected area
• Epidural steroid injections
• Surgery to decompress and stabilize the affected segment when the conservative treatments do not provide sufficient improvement

The team of specialists at the Duke Spine Center will work with you to develop the optimal treatment plan to improve your pain and allow you to resume your active lifestyle.