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In spondylolisthesis one vertebra slips forward over the one below it. It can cause low back pain and, when the slip narrows the space for the nerves, leg pain or numbness.
At a glance
A vertebra can slip because of wear in the discs and joints with age (degenerative spondylolisthesis), a small stress crack in the back of the vertebra (isthmic spondylolisthesis) or, less often, injury.
Many slips are mild and are treated without surgery. When pain, nerve symptoms or instability continue, surgery can free the nerves and hold the spine steady.
You may benefit from an assessment if you have:
An examination, standing X-rays and flexion-extension X-rays to measure the slip and see if it moves, and an MRI to check pressure on the nerves.
Non-surgical options come first. Surgery is advised only when it is likely to help.
After treatment, the team builds a recovery plan around you.
Google reviews from patients who mention this kind of problem. See all reviews →
★★★★★
I had unbearable back pain for more than a year. I met many doctors but got no relief. Finally, Dr. Praveen diagnosed me with a spondylolisthesis problem and performed MIS TLIF surgery. The results are amazing — I can move freely now. He is a great spine surgeon with a very caring nature.
★★★★★
“I had L4-L5 discectomy and L5-S1 fusion surgery with Dr. Praveen Goparaju sir. He explained everything clearly before surgery, gave me confidence, and the operation went smoothly. Post-surgery care and guidance are also very good. I am recovering well and feeling much better. Truly an expert in spine surgery and very supportive with patients. Highly recommend him for spine-related problems.”
★★★★★
My father has been suffering from L5–S1 spondylolisthesis and received treatment from Dr. Praveen Goparaju. we are very grateful for the care and expertise he provided throughout the treatment. He explained the condition clearly, discussed all available options, and guided my father with a well-planned approach that gave him confidence. The treatment was effective, and my father experienced significant improvement in his symptoms. What stood out most was his patience, professionalism, and willingness to answer all the questions without rushing. The overall experience—from consultation to follow-up—was smooth and reassuring. we would highly recommend Dr. Praveen Goparaju to anyone dealing with spine-related issues.
No, the slip does not usually go back, but many people with a mild slip have little pain and do well with physiotherapy and core strengthening.
When back or leg pain continues despite proper non-surgical care, when there is weakness or numbness, or when the slip is unstable or getting worse.
No. In a slip disc the soft disc bulges out; in spondylolisthesis the bone (vertebra) itself slips forward. Both can press on nerves.
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