Understanding the condition

What is Spondylolisthesis?

Spondylolisthesis occurs when one vertebra slips forward relative to the vertebra below it. This can affect spinal alignment and may place pressure on nearby nerves.

The condition may result from age-related degeneration, stress fractures, congenital changes, or injury. The degree of slippage can vary, and not everyone with spondylolisthesis develops symptoms. When symptoms do occur, they are often related to nerve compression or reduced spinal stability.

Symptoms

Common symptoms of Spondylolisthesis

Hover your cursor over a symptom above to learn more.

When to Seek Urgent Care

Know the Warning Signs

Seek urgent medical attention if you experience:

  • Loss of bladder or bowel control
  • Progressive weakness in one or both legs
  • Significant deterioration in walking ability

These symptoms may indicate severe nerve compression requiring urgent assessment.

For emergencies, call 000 or attend your nearest Emergency Department.

Assessment & Imaging

How is it diagnosed?

Diagnosis begins with a detailed history and examination. X-rays are commonly used to identify vertebral slippage, while MRI or CT scans may be used to assess nerve compression and spinal stability.

Clinical Assessment

Where the pain began, how it behaves, and how it affects daily life.

Neurological Examination

Assessment of movement, strength, sensation and reflexes.

MRI or CT Scan

MRI or CT may help confirm the diagnosis or investigate significant symptoms.

Treatment

Treatment Options

Treatment is based on your symptoms, examination findings, imaging, and how the condition affects your day-to-day life.

Many patients achieve good symptom control without surgery.

Treatment may include:

  • Physiotherapy
  • Exercise physiology
  • Activity modification
  • Pain-relieving medication
  • Anti-inflammatory medication
  • Image-guided spinal injections

Surgery may be considered when symptoms persist or when neurological deficits develop.

Procedures may include:

  • Decompression surgery
  • Lumbar fusion surgery

Related Services

Our multidisciplinary team can support assessment, treatment, rehabilitation, and surgical care where appropriate.

Treatment Procedures

Procedures to treat Spondylolisthesis