Spondylolisthesis is a disease in which the vertebrae move over each other, up to five degrees depending on the distance they have slipped. Spondylolisthesis is the most common cause of low back pain in adolescents. In this post we tell you what the symptoms, causes and treatment of spondylolisthesis are.
What is spondylolisthesis?
Spondylolisthesis is the sliding of a vertebra on the one immediately below it., normally affecting the bones of the lower back. Spondylolisthesis can occur at both the cervical and lumbar levels, with the symptoms of lumbar spondylolisthesis being more common.
When the displacement of the vertebra occurs forward it is called anterolisthesis and when it occurs posteriorly, it is known as retrolisthesis.
The term spondylolisthesis comes from the Greek word spondylos, whose meaning is spine or vertebra, and listhesis, which means to slide.
Degrees of spondylolisthesis
The degree of slippage of the vertebrae can be classified from I to IV. Grade 1 (0 to 25%) indicates that the 25% of a vertebra has slipped forward on its inferior. When grade II is diagnosed, the slip exists between 25 and 50%. Grade III indicates a slip of the vertebrae from 50 to 75%. Finally, grade IV spondylolisthesis represents a slippage of 100%, known as spondyloptosis.
Generally, grade III and grade IV slips may require surgical intervention.
Types of spondylolisthesis
There are different types of spondylolisthesis. Congenital spondylolisthesis It is present from birth, as a result of imperfect bone formation.
For its part, it is known as isthmic spondylolisthesis when it appears as a result of spondylosis due to degeneration of the spine.
Degenerative spondylolisthesis is the most common type of this disease as a result of the progress of aging of the bones, joints and ligaments of the spine.
What are the symptoms of spondylolisthesis
In general, grade I and II spondylolisthesis does not usually cause pain, so symptoms appear in the most severe grades. Pain in the lower back, thighs and legs are the most common symptoms of spondylolisthesis..
In most cases, the patient reports more pain when standing or walking, causing instability in walking in the most complicated cases.
Some physical differences and symptoms of spondylolisthesis manifest as an overshooting of the abdomen, with a shorter torso appearing. Thus, spondylolisthesis can lead to increased lordosis, causing kyphosis in the final stages.
Causes of spondylolisthesis
In children, spondylolisthesis appears between the fifth bone of the lower back and the first bone of the sacral area of the pelvis, due to a congenital anomaly in this area of the spine or due to acute trauma to it.
On the other hand, in adults, the most common cause of spondylolisthesis is the abnormal wear and tear of cartilage and bones, generally in people over 40-50 years of age, with more cases occurring in women than in men.
Bone diseases and bone fractures can also cause spondylolisthesis. In addition, certain sports practices such as gymnastics, weight lifting and American football cause tension in the bones of the lumbar region, which can cause the vertebrae to weaken.
Diagnosis and treatment of spondylolisthesis
When symptoms remain present for a prolonged period of time, it is important to see a specialist to diagnose the disease and determine the appropriate treatment, before, if possible, the symptoms worsen and become a severe pathology.
How is spondylolisthesis diagnosed?
Through a x-ray of the lower back You can see if there is any vertebra out of place. In addition, a computerized topography scan or an MRI can be requested, through which more detailed images are obtained that allow us to see more clearly if the vertebrae of the spine are aligned.
How is spondylolisthesis treated?
Treatment for spondylolisthesis depends on several factors, such as the age and health of the patient, the extent of the slip, and the aggravation of the symptoms present.
As a conservative treatment, the practice of physical exercise is recommended with the aim of strengthening the muscles of the spine.
In cases where pain persists, surgical intervention will be established., which offers better results by improving symptoms and quality of life for patients.
At the Institute of Advanced Spine Surgery we have a team of traumatologists experts in minimally invasive surgery with more than 10 years of experience in the medical sector. If you present any of the symptoms mentioned in this post, do not hesitate to contact our experts, they will be happy to help you start leading a normal life.
30 thoughts on “Causas, síntomas y tratamiento de la espondilolistesis”
Hello, I would like to ask your opinion, I have a grade 3 spondiolesthesis with two herniated discs and a scoliosis of curvature 45 and 48g and in Almería they tell me that they would have to fix the lower part of my back, the operation not giving me any success. I am taking oxycodone every 8 hours 40mg and it hurts more and more, I would like to know if you could give me a diagnosis. Thank you.
Hi carmen,
Surgery seems to be the most reasonable option in your case. You can contact our specialists at Clínica Elgeadi to have another opinion.
Make your appointment by calling 910 053 900
Greetings
Good afternoon
How viable is a 3rd spinal intervention? I started with scoliosis. For that reason, they were my first two surgeries, but today I have grade 3 listhesis.
I would like to know how feasible and the percentage of postoperative improvement there is.
Hello Rosalba,
We would have to evaluate your case in consultation.
You can make an appointment by calling 91 005 39 00.
Greetings
Hello, good morning, I have spondylolisthesis, I was detected since I was 15 years old. , sometimes the buttocks hurt, other times it doesn't. What exercises do you recommend? ?? Can this get worse or can it improve over time?
Hello, Gerardo,
It depends on the treatments you do.
When more conservative treatments do not work, other possibilities can be evaluated. You can make an appointment by calling 91 005 39 00 so we can see your case in person and what the steps to follow would be.
Greetings
Bonjour,
J'ai une discarthrose L4L5 avec spondylolysthésis de grade 1 entraînant une protrusion disc circonférentielle posteriore et foraminale bilatérale, responsibly d'une compression radiculaire de L4 et L5 deux côtés.
Posterior disc pumping in L5S1 with bilateral root refoulement of S1.
Je recens les douleurs aux genoux lorsque je suis en mouvement. Je voudrais savoir si cette intervention ne présente pas des risques post opératoire
Bonjour Ngoa,
See our contacts at cliquant ici pour demander un rendez-vous et traiter votre cas en privé.
Greetings
Svp! Comment gardé les douleurs lors d'une isthesis?
And comment on measure the degré de glissement lors d'une isthesis?
Bonjour,
Essayez la physiothérapie et la rééducation pour contrôler la douleur. Pour verifier un éventuel glissement du disc, des examinations d'imagerie appropriés doivent être effectués.
Je vous prie d'agréer, Madame, Monsieur, l'expression de mes salutations distinguées.
Do your exercises in water… 10 times better… do your research… Aqua Yoga or an Aqua Works
Do your exercises in the water…
Retablissement 10 times faster ..faites you search…Aqua Yoga or an Aqua Works
Good afternoon, I have grade 1 antenodyslesisi in L5 and L5 S1 discopathy, I don't know how to rule out right partial isthmic lysis, disc dehydration/desiccation and L5-S1 interbody impingement associated with listhesis and facet osteoarthritis, they generate bilateral foramidal stenosis.
What treatment would be next after having had rehabilitation with physio, treatment with pills and a block without having a positive result? Thank you so much
Hello Eva,
In order to advise you on your case we would need to see your evidence and carry out a full examination.
You can make an appointment by calling 91 005 39 00.
Greetings
Hello, good morning. I had acquired spondylolisthesis surgery 3 months ago and now I am starting to notice a burning sensation in my left leg up to the heel and back pain. I am taking 150 mg of Gatica and Zaldiar every 8 hours.
Good morning, it is important that you inform your doctor about these new symptoms, as they could indicate nerve irritation or compression. An in-person re-evaluation will allow for treatment adjustments or additional studies to be performed if necessary. In the meantime, please follow current medical instructions and avoid activities that may aggravate your symptoms.
Greetings
Hello!
Detectée spondylolisthesis hypertrophie lombaire, j'ai des fourmillements dans 1 jambe jusqu'au genou et douleur au level de la hanche quand je marche.
What are the solutions that are best for me?
Thank you.
Marie
Hello, Marie,
Selon la gravité de votre situation, les options de treatmentement peuvent include des approches conservatrices telles que la physiothérapie, des exercices spécifiques pour renforcer la région lombaire ou des infiltrations pour soulager la douleur. In certain cases, a chirurgical intervention pourrait être nécessaire, mais cela doit toujours être decided after an évaluation approfondie par un spécialiste.
Nous vous recommandons de consulter un médecin spécialiste de la colonne vertebrale afin qu'il puisse évaluar votre cas clinique en détail et déterminer le traitement le plus adapté à votre condition. If you are satisfied, you can obtain rendezvous with our specialists calling 91 005 39 00.
Spondylolyse bilatérale ancienne de l5 responsibly d'un antélisthésis de grade 1 au même level sténose foraminale bilatérale en rapport avec l'antélisthésis mes nerfs de pieds et nerf sciatique atteint dans les deux jambes mal des fois cuisses genoux et entre jambes
Bonjour Anne,
Nous sommes désolés d'apprendre que vous traversez cette situation. In order to determine the treatment that is most adapted to your case, it is necessary for us to evaluate the spinal colon spécialistes in detail. Ainsi, ils pourront vous aider à trouver la meilleure solution pour améliorer votre qualité de vie.
If you are interested, you can contact us for a programmer consultation on 91 005 39 00.
Good morning,
Suite à car accident on diagnosis à mon fils de 12 ans un Spondylolisthésis de L5 sur S1 de grade I sans pincement discal associé, sur lyse isthmique
Bilatéral risque t il dy avoir une évolution, aggravation quand il va vieillir?
Hello Eloise,
La spondylolisthésis de grade I avec lyse isthmique est une condition qui, dans de nombreux cas, peut rester stable dans le temps, surtout s'il n'y a pas de compression nerveuse ni d'autres symptômes importants. Cependant, chaque cas est différent, et chez les enfants ou les adolescents, il est important d'assurer un suivi Médical régulier pour surveiller l'évolution, notamment pendant la croissance.
The idea is that a specialist in the vertebral colon can evaluate the current tests in order to determine whether a trait is necessary or whether simple surveillance is sufficient.
Greetings.
Good morning, I have grade 1 spondylolisthesis. I have morning pain when I wake up, and it goes away after 1 or 2 hours. There is a herniated disk. They tell me I need surgery. If not today, it will be tomorrow. I am from Mexico. I would like an opinion, please.
Hello Daniel,
Thank you for sharing your situation. In order to provide you with an accurate opinion on your case, our medical team would need to thoroughly review all of your studies, including current imaging and reports.
We know that the decision to undergo surgery is not easy, and although spondylolisthesis with a herniated disc may require surgery in some cases, there are also conservative treatments that may be useful depending on the degree of neurological involvement and the impact on your quality of life.
If you're in Spain or would like a video consultation, you can schedule an appointment with our team by calling 91 005 39 00. We'll be happy to help.
Greetings.
Hello, I have been diagnosed with grade 1 spondylolisthesis in the last lumbar vertebra – code M51.2G. It all started because I was sitting with my right leg crossed for too long while working on the computer, and my entire right ankle and foot became numb. Suddenly, I couldn't fully lift it or stand on my right heel. Four weeks later, I've regained those ranges of motion, but I still have a feeling of loss of strength in my ankle and ball of my foot, which makes me feel unstable. My back sometimes bothers me in the lumbar region, but not in my glutes or legs. This sensation can generally be recovered in the foot with exercise. It indicates that surgery is necessary if it doesn't go away.
Greetings
Pablo
Hi Pablo, thanks for sharing your case.
Grade 1 spondylolisthesis, especially if associated with symptoms such as loss of strength or sensation, can affect nerve roots and cause changes like the one you describe in your foot. The partial improvement you mention after a few weeks is a good sign, as it indicates that the nerve may be in the process of healing.
However, when a feeling of weakness or instability persists, a complete neurological and functional evaluation is recommended. In many cases, recovery can continue with time and well-guided physical therapy exercises, especially if there is no radiating pain or other signs of severe compression. Surgery is not always necessary and is usually reserved for cases with progressive neurological involvement or disabling pain that does not improve with conservative treatment.
To provide you with an accurate diagnosis, our specialists must evaluate your tests. You can make an appointment by calling (+34) 91 005 39 00.
Greetings.
Bonjour, j'ai une anthelistesie de grade 1 L5 S1 je ne supporte plus les anti-inflammatoires que puis je faire, j'ai des douleurs au levé du two irradiants dans la jambe.
Mercy
Bonjour,
Thank you for sharing your situation. There are other therapeutic options that can help you, as a personnalised physiothérapie treatment, local analgésie techniques or encore des complémentaires therapies encadrées par un spécialiste.
Pour pouvoir vous proposer une alternative adaptée, il serait nécessaire que nos écialistes évaluant your exams and your medical dossier. If you are happy, you can take rendezvous and we will be happy to help you.
Greetings.
Bonjour je voudrai avoir votre avis jai un effacement de la lordose cervicale physiologique.
intégrité morphologique de ce segment rachidient.
Bascule gauche basin 6.5 Mm
Antélisthésis L5 sur s1 secondaire a une isthomolyse. Spondylolisthesis stade 1 9mm. Intégrité des autres couples vertebraux lombaire sus jacents ansi que du rachis dorsal. Et jai très mal je peu pas rester longtemps debout ou asis
Bonjour,
Nous sommes désolés d'apprendre que vous suuffrez autant. Dans des cas comme le vôtre, il est essentiel qu'un spécialiste de la colonne vertebrale puisse évaluar en détail vos exams d'imagerie ainsi que vos symptômes. This is the way to establish a precise diagnosis and propose the most adapted treatment.
If you are interested, you can contact us to organize a consultation. Nous serons ravis de vous aider.
Greetings.