Spondylolisthesis

Spondylolisthesis occurs when one vertebra slips forward over the one below it, often causing pain, nerve compression, or mobility challenges. At Covenant Spine and Neurology, we provide advanced, individualized care to help patients reduce pain, improve spinal stability, and restore their quality of life. Our board-certified specialists combine state-of-the-art diagnostics with a compassionate, patient-centered approach, ensuring every individual receives comprehensive and tailored care.

What Is Spondylolisthesis?

Spondylolisthesis can develop from a variety of causes, including stress fractures, degeneration of spinal joints, trauma, or congenital spinal abnormalities. The condition most commonly affects the lower back (lumbar spine), where vertebral slippage can irritate or compress nearby nerves. Depending on the severity of the slippage, symptoms may range from mild discomfort to significant functional limitations.

Symptoms of Spondylolisthesis?

Symptoms may vary depending on the degree of vertebral slippage and the affected nerves. Common signs include:

 

  • Persistent lower back pain

  • Pain that radiates into the buttocks or legs

  • Muscle weakness or heaviness in the legs

  • Numbness or tingling caused by nerve irritation

  • Difficulty walking or standing for long periods

  • Increased pain with extension or certain movements

  • Feeling of instability in the spine

If left untreated, symptoms may worsen over time. Early evaluation is key to preventing progression and improving long-term outcomes.

Types of Spondylolisthesis

Understanding the type can help guide treatment:

 

Degenerative Spondylolisthesis

Caused by age-related wear and tear, leading to joint instability.

 

Isthmic Spondylolisthesis

Occurs when a small stress fracture (pars defect) allows a vertebra to slip forward.

 

Traumatic Spondylolisthesis

 

Results from accidental injuries that affect the spinal structures.

 

Congenital Spondylolisthesis

 

Present at birth due to developmental abnormalities.

 

Pathologic Spondylolisthesis

 

Caused by disease affecting bone integrity.

Common Causes of Spondylolisthesis

Several factors may contribute to vertebral slippage:

 

  • Degenerative disc disease

  • Stress fractures or repetitive strain

  • Congenital spine abnormalities

  • Arthritis affecting spinal joints

  • Trauma from falls, sports, or accidents

  • Weakening of vertebrae due to bone conditions

Advanced Diagnosis for Spondylolisthesis

At Covenant Spine and Neurology, we use advanced tools and detailed assessments to accurately diagnose spondylolisthesis and determine its severity. Your evaluation may include:

 

  • Medical history and symptom review

  • Neurological and musculoskeletal examination

  • X-ray imaging to identify vertebral slippage

  • MRI or CT scans to evaluate nerve compression and structural changes

  • Nerve conduction studies when necessary

This comprehensive process allows us to build a precise and effective treatment plan.

Treatment Options for Spondylolisthesis

Our multidisciplinary approach focuses on relieving pain, improving stability, and supporting long-term function.

 

Conservative Treatments

  • Physical therapy

  • Core-strengthening and stability exercises

  • Activity modification and ergonomic guidance

  • Anti-inflammatory or pain-relief medications

Pain Management Techniques

  • Epidural steroid injections

  • Nerve blocks

  • Trigger point injections

  • Medication management

Minimally Invasive Procedures

If conservative care does not provide sufficient relief, advanced options may include:

 

  • Spinal decompression

  • Minimally invasive stabilization procedures

  • Radiofrequency ablation

  • Surgical referral when indicated

Our specialists ensure you understand each option and guide you through every phase of your care plan.

Why Choose Covenant Spine and Neurology?

Patients trust Covenant Spine and Neurology for our:

 

  • Board-certified neurology and spine specialists

  • Advanced diagnostic technology

  • Customized treatment plans tailored to individual needs

  • Comprehensive follow-up and long-term care

  • Compassionate, patient-centered approach

  • Collaborative communication with primary care and referring providers

We are committed to helping patients reduce pain, improve mobility, and reclaim their quality of life.

Start Your Path to Recovery Today

You don’t have to live with the limitations of spondylolisthesis. Early diagnosis and targeted treatment can significantly improve your comfort, strength, and stability. Contact Covenant Spine and Neurology today to schedule your consultation and take the first step toward better spinal health. Click here to find a location near you.

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For more information or to schedule an appointment call us at 336-761-4020.

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