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Spondylolisthesis occurs when one vertebra slips forward over the one below it, disrupting the alignment of the spine. This condition can vary in severity, from mild slippage to more severe cases that affect mobility and cause pain. Effects on the Spine: 1. Spinal Instability: The forward slippage creates instability, making the spine less able to support normal movement and posture. This instability can lead to further degeneration over time. 2. Nerve Compression: When a vertebra slips out of place, it can narrow the spinal canal or press on nearby spinal nerves. This can cause sciatica (shooting pain down the leg), numbness, or tingling in the legs and feet. 3. Lower Back Pain: The misaligned vertebrae can irritate joints and soft tissues, leading to chronic lower back pain, especially during movement or prolonged standing. 4. Reduced Mobility and Stiffness: Spondylolisthesis can cause stiffness in the lower back, making it difficult to perform everyday activities like bending or walking. 5. Muscle Weakness: Nerve compression may lead to weakness in the legs or feet, making it hard to walk or maintain balance. 6. Postural Changes: Severe cases can alter posture, leading to a forward-leaning gait (hyperlordosis) or difficulty standing upright. 7. Risk of Further Spinal Problems: If untreated, spondylolisthesis may lead to degenerative disc disease or spinal stenosis (narrowing of the spinal canal). Treatment Options: Non-surgical Treatments: Physical therapy, anti-inflammatory medications, and braces can help manage symptoms in mild cases. Surgical Treatment: In more severe cases, a spinal fusion (like TLIF) may be needed to stabilize the spine and relieve nerve pressure. By restoring stability and relieving nerve pressure, proper treatment can significantly improve function and reduce pain caused by spondylolisthesis.
By Jo Kennedy
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