Gradual & repetitive increase in symptoms that gradually worsen especially
Degenerative Spondylolisthesis
Loss of disc heights with slippage forwards or backwards of the upper vertebra.
Muscle Balance Physiotherapy with correction of posture, improved inter-body alignment and curves in the spine (overarching or flat back postures) Conservative Care.
Intrusive symptoms impair work or retirement / social activities Weight bearing X-rays & MRI scan
Endoscopic Lumbar Decompression & Foraminoplasty / Open Decompression / Fusion
Middle aged onset with buttock pain ± back / leg pain Spondylolytic Spondylolisthesis (Initially a childhood spine fracture allows slippage to occur)
Endoscopic Lumbar Decompression & Foraminoplasty / Fusion with correction of malalignment.