Lumbar Spondylolisthesis

Lumbar spondylolisthesis is anterior displacement of a lumbar vertebra (most often L5 on S1). Types: dysplastic, isthmic (spondylolysis), degenerative, traumatic, pathologic, post-surgical. Clinical: low back pain, radiculopathy, neurogenic claudication, tight hamstrings. Diagnosis: lateral/oblique X-ray, MRI/CT. Treatment: conservative: rest, activity modification, PT (core strengthening), NSAIDs, bracing, epidural steroids; surgical: decompression + fusion (posterior/lateral/interbody) if neuro deficit, cauda equina, persistent pain; follow-up orthopedics/spine surgery/neurology.

Common Symptoms

Low back pain; leg pain; claudication; tight hamstrings

Causes and Pathogenesis

Ishtmic/dysplastic/degenerative causes cause anterior vertebral slippage.

Treatment

Conservative: rest/PT/NSAIDs; surgical: decompression + fusion

Preventive Measures

Core strengthening; avoid heavy lifting; maintain posture.

Department to Visit

It is recommended to visit the Orthopedics/Spine-surgery/Neurology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.