Spondylolisthesis is a condition in which one vertebra slips forward over the vertebra below it. This slippage can occur due to a stress fracture, congenital defect, degenerative changes, or age-related wear and tear. It most commonly affects the lower (lumbar) spine and may lead to nerve compression, instability, and chronic lower back pain.
The condition can affect children and adolescents involved in high-impact sports, as well as elderly individuals due to degeneration of spinal structures.
Spondylolisthesis is more common in:
Elderly individuals due to long-term wear and tear, poor posture, and weakening of supporting spinal structures.
Young athletes involved in gymnastics, football, and weightlifting.
Individuals performing heavy or unguided weight training, especially in gyms.
Children and adolescents with congenital or isthmic defects of the spine.
Diagnosis typically involves X-rays and CT scans to confirm vertebral slippage. MRI is often recommended to assess nerve involvement and rule out other conditions.
Treatment depends on:
Grade of vertebral slippage
Severity of symptoms
Spinal stability and mobility
Management may include conservative care (medications, physiotherapy, bracing) or surgical stabilization in advanced cases.