Degenerative Spondylolisthesis

Degenerative spondylolisthesis is an acquired condition thought to be caused by chronic disc degeneration and the progressive "slippage" of one vertebra over the other. It is most common at L4-5 but may be present at adjacent levels. This problem is most prevalent in people over age 60 and is more common in females. Symptoms may be in the form of back and or leg pain. Back pain related to the degenerated disc is usually mechanical in nature with aggravation from activity, especially standing and walking, but also bending and lifting. Leg symptoms are often present due to associated spinal stenosis caused by the spondylolisthesis.

When non-operative treatment fails to relieve symptoms and return the patient to their normal activities, surgery may be considered. Surgery to treat degenerative spondylolisthesis depends on whether the primary pain is from the degenerated disc (which may be unstable) or from the stenosis. Treatment of the instability may require a fusion, while leg pain from the stenosis may respond to a decompressive procedure.

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As you read this information, keep in mind that all treatment and outcome results are specific to the individual. Only your physician can provide you with a detailed list of your specific indications, precautions, potential adverse events, and other important medical information.

Spondylolisthesis L4,5