Spondylolistezja
Objawy

Spondylolisteza to przesunięcie kręgu względem kręgu poniżej, najczęściej w odcinku lędźwiowym, które może przebiegać bezobjawowo lub manifestować się bólem dolnej części pleców nasilającym się przy aktywności i prostowaniu kręgosłupa. Objawy neurologiczne, takie jak rwa kulszowa, parestezje, osłabienie mięśniowe czy dysestezje, wynikają z ucisku korzeni nerwowych. Chromanie neurogenne występuje u około 75% pacjentów z degeneracyjną formą i charakteryzuje się bólem promieniującym do obu nóg, nasilającym się przy chodzeniu i ustępującym w pozycji siedzącej. Typowe objawy fizyczne to napięcie mięśni „hamstringów”, sztywność kręgosłupa, zmiany postawy (lordoza, kifoza) oraz zmiana wzorca chodu. Progresja choroby zależy od wieku, typu spondylolistezy, stopnia przesunięcia (wg Meyerdinga: I 1-25%, II 26-50%, III 51-75%, IV 76-99%, V >100%), aktywności fizycznej i czynników anatomicznych. U dzieci ryzyko progresji jest większe podczas skoków wzrostu. Badania wskazują, że progresja przesunięcia występuje u około 30-34% pacjentów w okresie 5-18 lat leczenia zachowawczego.

Objawy spondylolistezy

Spondylolisteza (z łac. spondylolisthesis) to stan, w którym jeden z kręgów kręgosłupa przesuwa się do przodu względem kręgu znajdującego się poniżej. Choroba ta najczęściej występuje w dolnej części kręgosłupa (odcinku lędźwiowym), choć może pojawić się również w innych jego częściach. Objawy spondylolistezy mogą być bardzo zróżnicowane – od całkowitego braku symptomów do silnego bólu i poważnych ograniczeń funkcjonalnych.123

Występowanie objawów

Co istotne, wiele osób z spondylolistezą nie odczuwa żadnych symptomów i dowiaduje się o swoim schorzeniu dopiero podczas wykonywania badań obrazowych z innych powodów medycznych. Według badań, spondylolisteza często jest odkrywana przypadkowo podczas prześwietleń rentgenowskich lub tomografii komputerowej.123

Występowanie i nasilenie objawów zależy od wielu czynników, w tym od:12

Ból dolnej części kręgosłupa

Najczęstszym objawem spondylolistezy jest ból dolnej części kręgosłupa, który:123

  • Może być odczuwany jako tępy, przewlekły ból lub ostre kłucie
  • Nasila się podczas aktywności fizycznej, zwłaszcza podczas stania i chodzenia
  • Często pogarsza się przy prostowaniu (wyginaniu) kręgosłupa do tyłu
  • Zazwyczaj zmniejsza się w pozycji siedzącej lub przy lekkim pochyleniu się do przodu
  • Może promieniować do pośladków i ud

Ból ten pojawia się, ponieważ przesunięty kręg powoduje niestabilność kręgosłupa, a organizm próbuje ją skompensować poprzez napięcie okolicznych mięśni. Ten stan może prowadzić do stanów zapalnych i bólu.12

Objawy neurologiczne

Gdy przesunięty kręg uciska na nerwy rdzeniowe, mogą pojawić się objawy neurologiczne, takie jak:123

  • Rwa kulszowa – ból promieniujący wzdłuż nerwu kulszowego, od pośladków przez tylną część ud do nóg
  • Parestezje – uczucie mrowienia, drętwienia lub kłucia w kończynach dolnych
  • Osłabienie mięśniowe nóg, które może wpływać na chód i równowagę
  • Dysestezje – nieprzyjemne, nietypowe odczucia w kończynach dolnych

Objawy te są wynikiem kompresji korzeni nerwowych, gdy przesunięty kręg zmniejsza przestrzeń w kanale kręgowym lub w otworach międzykręgowych, przez które przechodzą nerwy.12

Chromanie neurogenne

Chromanie neurogenne występuje u około 75% pacjentów z degeneracyjną spondylolistezą i charakteryzuje się:123

  • Bólem dolnej części pleców, który promieniuje do obu nóg
  • Towarzyszącymi uczuciami mrowienia i osłabienia
  • Skurczami mięśni udowych (tzw. hamstringów)
  • Nasileniem przy chodzeniu i staniu
  • Ustępowaniem w pozycji siedzącej lub przy pochyleniu do przodu

Charakterystyczny dla chromania neurogennego jest tzw. „objaw wózka sklepowego” – pacjenci czują ulgę, gdy mogą oprzeć się o coś podczas chodzenia, na przykład o wózek w supermarkecie.1

Inne objawy fizyczne

Spondylolisteza może również powodować szereg innych objawów fizycznych:123

  • Napięcie mięśni „hamstringów” (tylnej grupy mięśni uda) – jeden z najbardziej charakterystycznych objawów spondylolistezy
  • Sztywność kręgosłupa i ograniczenie zakresu ruchu
  • Zmiany w postawie ciałazwiększona lordoza (wygięcie kręgosłupa do przodu, „koci grzbiet”) lub kyfoza (zaokrąglenie pleców)
  • Zmiana sposobu chodzenia – krótsze kroki, lekko zgięte kolana lub kołyszący się chód („kaczkowaty”)
  • Uwypuklony brzuch jako wynik kompensacyjnej zmiany w postawie
  • Zanik mięśni pośladkowych z powodu braku użycia w zmienionym wzorcu chodu

Progresja spondylolistezy

Naturalny przebieg spondylolistezy jest zmienny i zależy od wielu czynników, w tym od podstawowej niestabilności biomechanicznej i uszkodzenia neurologicznego. To podkreśla znaczenie wczesnej i dokładnej klasyfikacji stanu.12

Czynniki wpływające na progresję

Progresja spondylolistezy może zależeć od:123

  • Wieku – u dzieci i nastolatków podczas okresów wzrostu ryzyko progresji jest większe
  • Typu spondylolistezy – różne rodzaje mają różne tendencje do progresji
  • Stopnia przesunięcia – wyższe stopnie zwykle mają większe ryzyko dalszej progresji
  • Aktywności fizycznej – nadmierne obciążenie kręgosłupa może przyspieszyć progresję
  • Czynników anatomicznych – jak nachylenie miednicy czy nierównowaga strzałkowa
  • Czynników stylu życia – dieta, palenie tytoniu itp.

U pacjentów pediatrycznych skoki wzrostu i niedojrzała anatomia kręgów zwiększają ryzyko progresji, szczególnie u osób z wysokim nachyleniem miednicy lub zaburzeniem równowagi strzałkowej.12

Badania nad progresją

Badania wykazują różne wskaźniki progresji spondylolistezy:12

  • W jednym badaniu 145 pacjentów z degeneracyjną spondylolistezą leczonych zachowawczo, progresję zaobserwowano u 34% pacjentów, przy czym średnia progresja przesunięcia nastąpiła w okresie 10-18 lat
  • W innym badaniu u 31,8% uczestników wystąpiła progresja przesunięcia po co najmniej pięciu latach leczenia zachowawczego
  • Badania sugerują, że większość przypadków spondylolistezy niskiego stopnia nie postępuje przez pięć lat przy stosowaniu leczenia zachowawczego

Chociaż sam stopień przesunięcia według klasyfikacji Meyerdinga ma ograniczoną wartość prognostyczną, przy wszystkich innych równych czynnikach wyższe stopnie korelują ze zwiększonym ryzykiem progresji.1

Stopnie spondylolistezy i progresja

Spondylolisteza jest klasyfikowana według stopnia przesunięcia w skali Meyerdinga:1234

  • Stopień 1 (1-25% przesunięcia): Najlżejsza forma, często bez objawów lub z łagodnymi objawami jak delikatny ból pleców, sztywność i napięcie mięśni dolnej części pleców
  • Stopień 2 (26-50% przesunięcia): Objawy mogą być bardziej zauważalne, w tym zwiększony ból pleców, drętwienie lub mrowienie w nogach oraz trudności ze staniem lub chodzeniem przez dłuższy czas
  • Stopień 3 (51-75% przesunięcia): Deformacja kręgosłupa może być widoczna, pacjenci mogą doświadczać silnego bólu pleców promieniującego do bioder i nóg, co utrudnia wykonywanie codziennych czynności
  • Stopień 4 (76-99% przesunięcia): Ten etap może być bardzo wyniszczający, powodując ekstremalny ból pleców, ucisk nerwów i nawet trudności w kontrolowaniu pęcherza i jelit
  • Stopień 5 (>100% przesunięcia): Znany również jako spondyloptoza, w tym stadium kręg całkowicie zsunął się z kręgu poniżej, co prowadzi do poważnej deformacji kręgosłupa i może powodować zagrażające życiu objawy

Spondylolisteza wysokiego stopnia wiąże się z bardziej ostrożnym rokowaniem ze względu na większe prawdopodobieństwo progresji i powikłań.1

Komplikacje i powikłania

Jeśli spondylolisteza nie zostanie zdiagnozowana i leczona, może prowadzić do zwiększonego ryzyka następujących powikłań:123

  • Przewlekłego bólu pleców, który może znacząco wpływać na jakość życia
  • Zwyrodnienia stawów kręgosłupa i przyspieszonej artrozy
  • Uszkodzenia nerwów, które mogą prowadzić do trwałego osłabienia mięśni i paraliżu
  • Zespołu ogona końskiego (cauda equina) – stanu nagłego zagrożenia medycznego, charakteryzującego się utratą czucia w nogach i zaburzeniami funkcji pęcherza/jelit
  • Nietrzymania moczu lub stolca w wyniku ucisku na nerwy kontrolujące te funkcje
  • Poważnych deformacji kręgosłupa, które mogą wpływać na postawę i mobilność

Szczególnie niepokojące objawy, które mogą wskazywać na poważne powikłania, to: nagły, porażający ból, trudności w kontrolowaniu pęcherza lub jelit, gorączka lub uczucie drętwienia w okolicy krocza lub pachwin.12

Progresja objawów

Ból pleców spowodowany spondylolistezą często postępuje etapami:12

  • Początkowo ból może być łagodny i pojawiać się tylko podczas aktywności fizycznej
  • Z czasem ból może stać się bardziej uporczywy, występując nawet podczas odpoczynku
  • W zaawansowanych przypadkach ból może być stały, niezależnie od aktywności pacjenta

Interesującym zjawiskiem jest to, że w miarę postępu degeneracyjnej spondylolistezy objawy mogą się zmniejszać z powodu kompensacyjnych mechanizmów kręgosłupa, które zwiększają stabilność kręgosłupa i zapobiegają dalszej progresji. Jednak u niektórych osób progresja może się utrzymywać i powodować nasilenie objawów.1

Pogarszająca się spondylolisteza może objawiać się nowymi lub nasilonymi objawami neurologicznymi, takimi jak ból korzeniowy, dysfunkcja jelita i pęcherza moczowego, a nawet zespół ogona końskiego.1

Rokowania i perspektywy leczenia

Rokowanie dla pacjentów z spondylolistezą jest generalnie dobre:123

  • Większość pacjentów dobrze reaguje na leczenie zachowawcze
  • Odpoczynek i leczenie nieinwazyjne (np. leki, fizykoterapia) często przynoszą długotrwałą ulgę w ciągu kilku tygodni
  • Większość osób może stopniowo wrócić do uprawiania sportu i innych aktywności z niewieloma powikłaniami lub nawrotami
  • Jeśli leczenie zachowawcze zawiedzie, chirurgia może pomóc złagodzić objawy w nogach i ból pleców

Należy zauważyć, że leczenie zachowawcze nie może wyrównać przemieszczonego kręgu, ale może pomóc w powrocie do codziennych czynności bez bólu. Tylko operacja może przywrócić oryginalne ustawienie kręgosłupa.1

Spondylolisteza może powrócić po leczeniu, co zdarza się częściej w przypadkach, gdy przesunięcie było wyższego stopnia. Po operacji większość pacjentów wraca do normalnych czynności w ciągu kilku miesięcy, ale kręgosłup może nie być tak elastyczny jak przed zabiegiem.12

Dzieci i młodzież z spondylolizą i łagodną lub umiarkowaną spondylolistezą zwykle zdrowieją w ciągu około trzech do czterech miesięcy przy odpoczynku, noszeniu ortez i fizjoterapii. Dzieci, które przeszły operację zespolenia kręgosłupa z powodu ciężkiej spondylolistezy, zazwyczaj zdrowieją w ciągu około sześciu miesięcy do roku.1

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Spondylolisthesis: What Is It, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/10302-spondylolisthesis
    Spondylolisthesis happens when one of the vertebrae in your spine slips out of position and puts pressure on the vertebra below it. […] If you do have symptoms, they might include: Lower back pain. Sciatica (pain in your legs). Back stiffness. Difficulty walking or standing for more than a few minutes at a time. Numbness, weakness or tingling in your feet. […] You might feel pain in other areas of your back, depending on where in your spine the vertebra slips out of place. The pain might spread (radiate) into your butt (buttocks) or thighs. […] If its not diagnosed and treated, spondylolisthesis can increase your risk of: Chronic pain in your back. Spinal arthritis. Nerve damage. Trouble controlling when you pee (urinary incontinence) or poop (bowel incontinence). […] If you have spondylolisthesis, nonsurgical treatments like rest, medication and physical therapy should improve your symptoms.
  • #1 Spondylolisthesis: Causes, Symptoms and Treatments | HSS
    https://www.hss.edu/condition-list_spondylolisthesis.asp
    Symptoms of spondylolisthesis can include localized lower back pain and/or if there is associated nerve compression pain and/or numbness (neuropathy) that radiates down to the legs. […] Spondylolisthesis is generally not a serious or dangerous condition. Most patients with spondylolisthesis have few or no symptoms. Spondylolisthesis only becomes a concern when patients develop associated symptoms due to nerve compression (radiculopathy), disc degeneration or osteoarthritis. […] Most cases of spondylolisthesis do not cause any symptoms. If patients have limited or no symptoms, it is typically not dangerous to leave spondylolisthesis untreated.
  • #1 Spondylolisthesis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK430767/
    Spondylolisthesis is a spinal condition characterized by the displacement of one vertebra relative to the one below it, most commonly at the lumbosacral junction (L5-S1). […] Clinical presentations range from asymptomatic cases to severe pain, neurological compromise, and functional limitations. […] The clinical presentation of spondylolisthesis encompasses a broad spectrum, ranging from asymptomatic cases to those involving debilitating pain, neural compromise, and functional limitations. […] The natural history of spondylolisthesis is variable. In some cases, it reflects a progression influenced by underlying biomechanical instability and neural compromise, underscoring the importance of early and accurate condition classification. […] Spondylolisthesis is driven by a combination of biomechanical stressors, degenerative changes, and congenital abnormalities that compromise spinal stability.
  • #1 Spondylolisthesis Symptoms, Diagnosis, and Treatments | Pain
    https://www.precisionhealth.com.au/healthcare-services/pain-management/conditions-treated/spinal-conditions/spondylolisthesis/
    Spondylolisthesis doesn’t usually have any symptoms. In fact, it is commonly seen on X-rays and CT scans as an ‘incidental’ finding. It may, however, produce significant symptoms and disability. […] Back pain is the most common symptom of spondylolisthesis. This pain is typically worse with activities such as bending and lifting, and often eases when lying down. […] As the spine attempts to stabilise the unstable segment, the facet joints enlarge and place pressure on the nerve root causing lumbar spinal stenosis and lateral recess stenosis. […] As one bone slips forward on the other, a narrowing of the intervertebral foramen may also occur (foraminal stenosis). Severe nerve compression can therefore occur with pain, numbness and weakness in the legs. Sometimes loss of control of the bladder and/or bowels can occur due to pressure on the nerves going to these important structures.
  • #1 Degenerative Spondylolisthesis Symptoms
    https://www.spine-health.com/conditions/spondylolisthesis/degenerative-spondylolisthesis-symptoms
    Degenerative spondylolisthesis typically causes low back pain along with a cluster of symptoms and signs in one or both legs. […] Degenerative spondylolisthesis symptoms include neurogenic claudication, sciatica, and radiculopathy. […] Low back pain caused by degenerative spondylolisthesis is usually persistent and described as a consistent dull ache, but it may also feel like a sharp, stabbing sensation for some individuals. […] Intermittent neurogenic claudication affects around 75% of people with degenerative spondylolisthesis. It is characterized by episodes of low back pain that radiate to both legs, along with accompanying sensations of tingling, a sensation of weakness, and hamstring spasm. […] Back pain may radiate into the buttock, thighs, and into the leg and foot. […] When the spinal nerve roots are compressed or sufficiently inflamed and neurologic deficits are present, the condition is called radiculopathy. Radiculopathy may cause leg weakness and affect muscle reflexes. Additionally, numbness may be felt in the thigh, leg, and/or foot.
  • #1 Spondylolisthesis: Symptoms & Treatment | Seaview Orthopaedics
    https://seaviewortho.com/spondylolisthesis-2/
    The particular type of spondylolisthesis can often dictate specific symptoms that a patient can present with. Symptoms include but aren’t limited to: […] Back pain: this is the most common symptom. […] Leg pain: can be caused by compression of specific nerves in the back. […] Neurogenic claudication: this is the sensation of the patient’s legs feeling “tired” or having discomfort particularly when they exert themselves. Patients will often say that they feel better when the stop and sit down or if they have something to lean on such a grocery cart. This is commonly called the “shopping cart” sign. […] If the nerve compression is very severe, it can cause loss of bowel or bladder control. This is referred to as cauda equina syndrome and is a surgical emergency. Any patient with these symptoms should go immediately to the nearest emergency room.
  • #1 Spondylolisthesis | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/spondylolisthesis.html
    Symptoms may vary from mild to severe. In some cases, there may be no symptoms at all. […] Spondylolisthesis can lead to increased lordosis (also called swayback), and in later stages may result in kyphosis, or round back, as the upper spine falls off the lower. […] Symptoms may include: Lower back pain, Muscle tightness (tight hamstring muscle), Pain, numbness or tingling in the thighs and buttocks, Tenderness in the area of the vertebra that is out of place, Weakness in the legs, Stiffness, causing changes in posture and gait, A semi-kyphotic posture (leaning forward), A waddling gate in advanced cases, Lower-back pain along the sciatic nerve, Changes in bladder function. […] Spondylolisthesis may also produce a slipping sensation when moving into an upright position and pain when sitting and trying to stand.
  • #1 Spondylolisthesis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK430767/
    Each of these factors contributes to a series of pathological events that lead to the onset and progression of spondylolisthesis. […] High-grade spondylolisthesis carries a more guarded prognosis due to the higher likelihood of progression and complications. […] In pediatric patients, growth spurts and immature vertebral anatomy increase the risk of slip progression, particularly in those with high pelvic incidence or sagittal imbalance. […] In adults, high-grade slips often present with significant mechanical instability, sagittal malalignment, and neurological symptoms.
  • #1 What Makes Spondylolisthesis Worse?
    https://premiaspine.com/what-makes-spondylolisthesis-worse/
    The speed at which spondylolisthesis progresses can vary from patient to patient. […] In one study, 145 patients with degenerative spondylolisthesis managed without surgery were evaluated over several years. Progression was found in 34% of patients, with the average slip progression occurring over a 10- to 18-year period. […] In another study, 31.8% of the study participants experienced slip progression after a minimum of five years of non-operative management. The study concluded that most low-grade cases of spondylolisthesis dont progress over five years with non-surgical management. […] The progression of spondylolisthesis can change depending on various factors, such as the patients activity level, diet, whether or not they smoke, etc.
  • #1 Classification in Brief: The Meyerding Classification System of Spondylolisthesis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7170696/
    Although the natural history and management of spondylolisthesis can be very broad, it is important to have a way to measure spondylolisthesis and monitor its progression. Many factors influence the symptoms of spondylolisthesis; however, the degree of translation clearly plays an important role and helps guide management. […] Although by itself the classification has somewhat limited prognostic value, with all other factors being equal, such as etiology, higher grades do correlate to an increased progression risk. […] Slip severity also does not correspond well with symptoms and is not a reliable prognostic tool for symptom progression. A further study was unable to find a high correlation of slip progression or increasing Meyerding classification grade with worsening symptoms.
  • #1 Unlocking Spondylolisthesis: A Comprehensive Guide – Neuro Spine & Pain CenterVisit our FacebookVisit our InstagramVisit our TwitterVisit our LinkedInclosebarschevron-downlinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-b
    https://neurologyspineandpain.com/spondylolisthesis-comprehensive-guide/
    Spondylolisthesis is a common condition that affects the spine and can cause discomfort and pain for those with it. It occurs when one vertebra (bone in the spine) slips forward over another vertebra, causing the spinal column to become misaligned. This condition can affect people of all ages, but it is most commonly seen in adults over 50. […] The symptoms of spondylolisthesis vary depending on the severity of the condition. In mild cases, there may be no noticeable symptoms, but as the condition progresses, symptoms may include: Lower back pain, Muscle spasms in the back, Stiffness in the back, Numbness or tingling in the legs, Difficulty standing or walking, Decreased range of motion in the back, Weakness in the legs. […] Understanding the stages of spondylolisthesis is essential to identify its severity and manage it effectively. These are the five stages of spondylolisthesis and the accompanying symptoms.
  • #1 Degenerative Spondylolisthesis
    https://www.spine-health.com/conditions/spondylolisthesis/degenerative-spondylolisthesis
    It is important to seek immediate medical attention if there is persistent or worsening pain in the lower back that interferes with daily activities. […] Any changes in bowel or bladder function, such as difficulty controlling or emptying the bladder, bowel incontinence, or numbness in the genital area, is a medical emergency. […] Functional disabilities, such as difficulty walking, maintaining balance, or performing basic movements, may indicate a more advanced stage of the condition that requires prompt medical intervention.
  • #1 Spondylolysis and Spondylolisthesis | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/spondylolysis-and-spondylolisthesis
    If left untreated, spondylolysis can progress to spondylolisthesis, a condition in which a vertebra, weakened by fracture, slips out of alignment with the rest of the spine. […] For those with spondylolisthesis, the further a vertebra slips out of alignment, the greater the pain the child may experience (and the more likely they are to need surgery). […] Back pain caused by spondylolysis or spondylolisthesis tends to progress in stages, starting out mild and gradually becoming more persistent. In severe cases, the pain can become constant, even when the child is not active. […] Children and adolescents with spondylolysis and mild or moderate spondylolisthesis usually heal in about three to four months with rest, bracing, and physical therapy. Children who have spinal fusion surgery for severe spondylolisthesis typically heal in about six months to a year.
  • #1 Degenerative Spondylolisthesis Symptoms
    https://www.spine-health.com/conditions/spondylolisthesis/degenerative-spondylolisthesis-symptoms
    As degenerative spondylolisthesis progresses, the symptoms may lessen due to compensatory mechanisms of the spine that increase spinal stability and prevent further progression. […] However, in some individuals, the progression may continue and cause the following symptoms and signs. […] Degenerative spondylolisthesis may cause difficulty walking and maintaining balance. […] As degenerative spondylolisthesis progresses, difficulties with walking and maintaining balance may be experienced. […] Degenerative spondylolisthesis can affect lumbar range of motion due to the degenerative bone changes that prevent full segmental motion.
  • #1 Spondylolisthesis | Published in Orthopedic Reviews
    https://orthopedicreviews.openmedicalpublishing.org/article/36917-spondylolisthesis
    Symptoms typically derive from either mechanical etiology or spinal stenosis, and patients frequently complain of intermittent neurogenic claudication; a consequence of spinal stenosis which presents with low back pain with radiation to the proximal bilateral lower extremities, with associated paresthesia and weakness while ambulating or standing. […] Isthmic spondylolisthesis patients most commonly experience symptoms including hamstring tightness and lower back or buttock pain that is worse with spinal extension. […] This radiculopathy is due to compression of the nerve roots in the area of the anterior slippage of the vertebral body. […] Similarly, clinical features of degenerative spondylolisthesis predominantly include lower back pain, radiculopathy, or neurogenic claudication. […] Progressively worsening spondylolisthesis may present with new or augmented neurogenic symptoms, such as radicular pain, bowel and bladder dysfunction, and even cauda equina syndrome. […] Many cases are correlated with insidious onset.
  • #1 Spondylolisthesis Symptoms, Treatment, Surgery
    https://www.medicinenet.com/spondylolisthesis/article.htm
    Lower back pain is the most common symptom of spondylolisthesis. […] The most common symptom of spondylolisthesis is lower back pain. This is often worse after exercise especially with extension of the lumbar spine. Other symptoms include tightness of the hamstrings, and stiffness and decreased range of motion of the lower back. Pain in the legs, thighs, and buttocks may worsen with standing. Some patients can develop pain, numbness, tingling, or weakness in the legs due to nerve compression. Severe compression of the nerves can cause loss of control of bowel or bladder function, or cauda equina syndrome. […] The prognosis for patients with spondylolisthesis is good. Most patients respond well to a conservative treatment plan. For those with continued severe symptoms, surgery can help alleviate the leg symptoms by creating more space for the nerve roots. The back pain can be helped through a lumbar fusion.
  • #1 Spondylolisthesis: What Is It, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/10302-spondylolisthesis
    Nonsurgical treatments cant realign the out-of-place vertebra, but they can help you return to your daily activities without pain. Only surgery can restore your spines original alignment. […] Most people with spondylolisthesis can resume sports and other physical activities after a few weeks of treatment. You’ll usually need to wait until you can safely move without pain.
  • #1 Spondylolisthesis: Causes, Symptoms, Treatments
    https://www.webmd.com/back-pain/pain-management-spondylolisthesis
    Spondylolisthesis Symptoms: Sometimes, people with this condition don’t notice anything is wrong. But you can have symptoms that include: Lower back pain, Muscle tightness and stiffness, Pain in your buttocks, Pain that spreads down your legs (due to pressure on nerve roots), Pain that gets worse when you move around, Tight hamstrings (muscles in the back of your thighs), Trouble standing or walking. […] For most people, rest and nonsurgical treatments bring long-term relief within several weeks. But sometimes, spondylolisthesis comes back again after treatment. This happens more often when it was a higher grade. […] If you’ve had surgery, you’ll most likely do well afterward. Most people get back to normal activities within a few months. But your spine may not be as flexible as it was before.
  • #2 Spondylolisthesis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK430767/
    Spondylolisthesis is a spinal condition characterized by the displacement of one vertebra relative to the one below it, most commonly at the lumbosacral junction (L5-S1). […] Clinical presentations range from asymptomatic cases to severe pain, neurological compromise, and functional limitations. […] The clinical presentation of spondylolisthesis encompasses a broad spectrum, ranging from asymptomatic cases to those involving debilitating pain, neural compromise, and functional limitations. […] The natural history of spondylolisthesis is variable. In some cases, it reflects a progression influenced by underlying biomechanical instability and neural compromise, underscoring the importance of early and accurate condition classification. […] Spondylolisthesis is driven by a combination of biomechanical stressors, degenerative changes, and congenital abnormalities that compromise spinal stability.
  • #2 Spondylolisthesis Symptoms, Diagnosis, and Treatments | Pain
    https://www.precisionhealth.com.au/healthcare-services/pain-management/conditions-treated/spinal-conditions/spondylolisthesis/
    Spondylolisthesis doesn’t usually have any symptoms. In fact, it is commonly seen on X-rays and CT scans as an ‘incidental’ finding. It may, however, produce significant symptoms and disability. […] Back pain is the most common symptom of spondylolisthesis. This pain is typically worse with activities such as bending and lifting, and often eases when lying down. […] As the spine attempts to stabilise the unstable segment, the facet joints enlarge and place pressure on the nerve root causing lumbar spinal stenosis and lateral recess stenosis. […] As one bone slips forward on the other, a narrowing of the intervertebral foramen may also occur (foraminal stenosis). Severe nerve compression can therefore occur with pain, numbness and weakness in the legs. Sometimes loss of control of the bladder and/or bowels can occur due to pressure on the nerves going to these important structures.
  • #2 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Spondylolisthesis-Symptomatology.aspx
    The symptomatology of spondylolisthesis is highly variable between different patients with the condition. While some patients experience a significant drop in quality of life due to the severity of various symptoms, other individuals with the condition may not realize they are affected until the results are discovered in an X-ray examination. […] The symptoms of the condition are discussed below, grouped into physical changes, lower back pain, and sensations due to the involvement of the nerves. Additionally, the onset and severity of symptoms are covered in further detail. […] All patients with spondylolisthesis will experience changes in the positioning of the vertebrae of the spine, displaced forward. These changes may be accompanied by resulting symptoms, such as stiffening of the back and tightening of the hamstring muscles in the legs.
  • #2 Spondylolisthesis Causes, Symptoms & Treatments
    https://spineconnection.org/back-pain-conditions/spondylolisthesis/
    The most prevalent symptom of spondylolisthesis is lower back pain. Leg and buttock pain or weakness, bladder or bowel problems, tight hamstring feeling, swayback or protruding abdomen are other symptoms of the condition. […] The degree of pain a person will experience is not always correlated with the degree of slippage. Those with spondylolisthesis may associate an injury with the onset of their symptoms. In addition to back pain, someone with a spondylolisthesis may complain of leg pain due to nerve root irritation as a result of a narrowing of the openings that allow the nerves to pass through.
  • #2 Spondylolisthesis – Huffman Spine Clinic Napa
    https://huffmanclinic.com/conditions/spondylolisthesis/
    The symptoms of spondylolisthesis tend to develop gradually often over a period of years, though sometimes there will be a rapid onset of pain […] Lumbar degenerative spondylolisthesis is painful for two main reasons. First, the wear and tear changes in the facet joints and the disc cause pain. This is usually localized to the low back directly in the area of the slippage between the two bones. It may be associated with muscle spasm as the muscles around the slipped bones are placed under extra strain trying to stabilize the slippage. […] The second reason that spondylolisthesis is painful is that it can pinch nerves. […] Pain is the most common symptom that people with lumbar degenerative spondylolisthesis have but there are other symptoms. The second most common one is a feeling of aching and fatigue that can start in the low back but also affect the buttocks and legs. This pain is usually worse with standing and walking and is often relieved by sitting down or bending forward.
  • #2 Spondylolisthesis | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/spondylolisthesis.html
    Symptoms may vary from mild to severe. In some cases, there may be no symptoms at all. […] Spondylolisthesis can lead to increased lordosis (also called swayback), and in later stages may result in kyphosis, or round back, as the upper spine falls off the lower. […] Symptoms may include: Lower back pain, Muscle tightness (tight hamstring muscle), Pain, numbness or tingling in the thighs and buttocks, Tenderness in the area of the vertebra that is out of place, Weakness in the legs, Stiffness, causing changes in posture and gait, A semi-kyphotic posture (leaning forward), A waddling gate in advanced cases, Lower-back pain along the sciatic nerve, Changes in bladder function. […] Spondylolisthesis may also produce a slipping sensation when moving into an upright position and pain when sitting and trying to stand.
  • #2 Spondylolisthesis | Published in Orthopedic Reviews
    https://orthopedicreviews.openmedicalpublishing.org/article/36917-spondylolisthesis
    Symptoms typically derive from either mechanical etiology or spinal stenosis, and patients frequently complain of intermittent neurogenic claudication; a consequence of spinal stenosis which presents with low back pain with radiation to the proximal bilateral lower extremities, with associated paresthesia and weakness while ambulating or standing. […] Isthmic spondylolisthesis patients most commonly experience symptoms including hamstring tightness and lower back or buttock pain that is worse with spinal extension. […] This radiculopathy is due to compression of the nerve roots in the area of the anterior slippage of the vertebral body. […] Similarly, clinical features of degenerative spondylolisthesis predominantly include lower back pain, radiculopathy, or neurogenic claudication. […] Progressively worsening spondylolisthesis may present with new or augmented neurogenic symptoms, such as radicular pain, bowel and bladder dysfunction, and even cauda equina syndrome. […] Many cases are correlated with insidious onset.
  • #2 Spondylolisthesis – Wikipedia
    https://en.wikipedia.org/wiki/Spondylolisthesis
    Symptoms of lumbar anterolisthesis include: […] A general stiffening of the back and a tightening of the hamstrings, with a resulting change in both posture and gait. […] A leaning-forward or semi-kyphotic posture may be seen, due to compensatory changes. […] A „waddle” may be seen in more advanced causes, due to compensatory pelvic rotation due to decreased lumbar spine rotation. […] A result of the change in gait is often a noticeable atrophy in the gluteal muscles due to lack of use. […] Generalized lower-back pain may also be seen, with intermittent shooting pain from the buttocks to the posterior thigh, and/or lower leg via the sciatic nerve. […] Other symptoms may include tingling and numbness. […] Coughing and sneezing can intensify the pain. […] An individual may also note a „slipping sensation” when moving into an upright position. […] Sitting and trying to stand up may be painful and difficult.
  • #2 Spondylolisthesis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK430767/
    Each of these factors contributes to a series of pathological events that lead to the onset and progression of spondylolisthesis. […] High-grade spondylolisthesis carries a more guarded prognosis due to the higher likelihood of progression and complications. […] In pediatric patients, growth spurts and immature vertebral anatomy increase the risk of slip progression, particularly in those with high pelvic incidence or sagittal imbalance. […] In adults, high-grade slips often present with significant mechanical instability, sagittal malalignment, and neurological symptoms.
  • #2 What Makes Spondylolisthesis Worse?
    https://premiaspine.com/what-makes-spondylolisthesis-worse/
    The speed at which spondylolisthesis progresses can vary from patient to patient. […] In one study, 145 patients with degenerative spondylolisthesis managed without surgery were evaluated over several years. Progression was found in 34% of patients, with the average slip progression occurring over a 10- to 18-year period. […] In another study, 31.8% of the study participants experienced slip progression after a minimum of five years of non-operative management. The study concluded that most low-grade cases of spondylolisthesis dont progress over five years with non-surgical management. […] The progression of spondylolisthesis can change depending on various factors, such as the patients activity level, diet, whether or not they smoke, etc.
  • #2 Spondylolysis and Spondylolisthesis | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/spondylolysis-and-spondylolisthesis
    If left untreated, spondylolysis can progress to spondylolisthesis, a condition in which a vertebra, weakened by fracture, slips out of alignment with the rest of the spine. […] For those with spondylolisthesis, the further a vertebra slips out of alignment, the greater the pain the child may experience (and the more likely they are to need surgery). […] Back pain caused by spondylolysis or spondylolisthesis tends to progress in stages, starting out mild and gradually becoming more persistent. In severe cases, the pain can become constant, even when the child is not active. […] Children and adolescents with spondylolysis and mild or moderate spondylolisthesis usually heal in about three to four months with rest, bracing, and physical therapy. Children who have spinal fusion surgery for severe spondylolisthesis typically heal in about six months to a year.
  • #2 Unlocking Spondylolisthesis: A Comprehensive Guide – Neuro Spine & Pain CenterVisit our FacebookVisit our InstagramVisit our TwitterVisit our LinkedInclosebarschevron-downlinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-b
    https://neurologyspineandpain.com/spondylolisthesis-comprehensive-guide/
    Spondylolisthesis is a common condition that affects the spine and can cause discomfort and pain for those with it. It occurs when one vertebra (bone in the spine) slips forward over another vertebra, causing the spinal column to become misaligned. This condition can affect people of all ages, but it is most commonly seen in adults over 50. […] The symptoms of spondylolisthesis vary depending on the severity of the condition. In mild cases, there may be no noticeable symptoms, but as the condition progresses, symptoms may include: Lower back pain, Muscle spasms in the back, Stiffness in the back, Numbness or tingling in the legs, Difficulty standing or walking, Decreased range of motion in the back, Weakness in the legs. […] Understanding the stages of spondylolisthesis is essential to identify its severity and manage it effectively. These are the five stages of spondylolisthesis and the accompanying symptoms.
  • #2 Unlocking Spondylolisthesis: A Comprehensive Guide – Neuro Spine & Pain CenterVisit our FacebookVisit our InstagramVisit our TwitterVisit our LinkedInclosebarschevron-downlinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-b
    https://neurologyspineandpain.com/spondylolisthesis-comprehensive-guide/
    The first stage of spondylolisthesis is also known as mild spondylolisthesis and is characterized by the slippage of less than 25% of one vertebra over another. In this stage, the symptoms may be minimal, and most people may not experience any. However, some common symptoms of grade 1 spondylolisthesis include mild back pain, stiffness, and muscle tightness in the lower back. […] Grade 2 spondylolisthesis is characterized by the slippage of 26% to 50% of one vertebra over another. At this stage, the symptoms can become more noticeable, including increased back pain, numbness or tingling in the legs or feet, and difficulty standing or walking for extended periods. […] In this stage, the slippage increases to 51% to 75% of one vertebra over another. At this point, the spinal deformity may become apparent. Patients may experience severe back pain that radiates to the hips and legs, making it difficult to perform daily activities. Nerve compression is also standard in this stage, leading to symptoms like weakness, numbness, and tingling in the legs.
  • #2 Spondylolisthesis Symptoms, Causes & Treatment | Spire Healthcare
    https://www.spirehealthcare.com/conditions/spondylolisthesis/
    Spondylolisthesis can cause cauda equina syndrome. At the base of your spinal cord is a collection of nerves called the cauda equina. In cauda equina syndrome, these nerves are compressed, which can cause loss of feeling in your legs and bladder problems. It is a medical emergency. If it is not treated it can cause urinary incontinence and paralysis. […] Spondylolisthesis can be mild, moderate or severe. Severe cases of spondylolisthesis can be serious as they may lead to cauda equina syndrome, which is a medical emergency if this condition is not treated it can cause urinary incontinence and paralysis. Even moderate cases, over time, if left untreated, can cause nerve damage if a nerve is compressed. […] If a nerve is compressed, over time, spondylolisthesis can cause nerve damage, which may lead to paralysis. In some cases, spondylolisthesis can cause cauda equina syndrome another spinal condition that is a medical emergency because if it is left untreated there is a high risk of paralysis. […] In some cases, spondylolisthesis comes back but this is usually if your first instance of spondylolisthesis was severe ie your vertebra moved considerably out of its normal position.
  • #2 Spondylolisthesis | Symptoms & Minimally Invasive Treatments
    https://newyorkcityspine.com/condition/spondylolisthesis/
    Pain that worsens while standing or with exertion […] Development of swayback (or lordosis) that may interfere with your gait or render walking extremely painful […] Seek immediate medical attention if your spondylolisthesis symptoms include: sudden, crippling pain, difficulty controlling your bowel or bladder, fever, or sensations of numbness in the saddle region of the buttocks or groin.
  • #2 Spondylolisthesis: Causes, Symptoms, Treatments
    https://www.webmd.com/back-pain/pain-management-spondylolisthesis
    Spondylolisthesis Symptoms: Sometimes, people with this condition don’t notice anything is wrong. But you can have symptoms that include: Lower back pain, Muscle tightness and stiffness, Pain in your buttocks, Pain that spreads down your legs (due to pressure on nerve roots), Pain that gets worse when you move around, Tight hamstrings (muscles in the back of your thighs), Trouble standing or walking. […] For most people, rest and nonsurgical treatments bring long-term relief within several weeks. But sometimes, spondylolisthesis comes back again after treatment. This happens more often when it was a higher grade. […] If you’ve had surgery, you’ll most likely do well afterward. Most people get back to normal activities within a few months. But your spine may not be as flexible as it was before.
  • #3 Adult Spondylolisthesis in the Low Back – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/adult-spondylolisthesis-in-the-low-back/
    In spondylolisthesis, one of the bones in your spine called a vertebra slips forward and out of place. This may occur anywhere along the spine, but is most common in the lower back (lumbar spine). In some people, this causes no symptoms at all. Others may have back and leg pain that ranges from mild to severe. […] Patients with degenerative spondylolisthesis will often develop leg and/or lower back pain when slippage of the vertebrae begins to put pressure on the spinal nerves. The most common symptoms in the legs include a feeling of diffuse weakness associated with prolonged standing or walking. […] Most patients with isthmic spondylolisthesis have low back pain, which they believe is activity-related. The back pain is sometimes accompanied by leg pain. In elderly patients, isthmic spondylolisthesis can also be accompanied by symptoms of spinal stenosis.
  • #3 Spondylolisthesis
    https://www.nhs.uk/conditions/spondylolisthesis/
    The main symptoms of spondylolisthesis include: pain in your lower back, often worse when standing or walking and relieved when sitting or bending forward […] Spondylolisthesis does not always cause symptoms. […] If you have symptoms of spondylolisthesis, the GP may examine your back. […] This is painful if you have tight hamstrings or sciatica caused by spondylolisthesis. […] Treatments for spondylolisthesis depend on the symptoms you have and how severe they are. […] Recovery from surgery can take several weeks, but if often improves many of the symptoms of spondylolisthesis.
  • #3 Spondylolisthesis Symptoms, Treatment, Surgery
    https://www.medicinenet.com/spondylolisthesis/article.htm
    Lower back pain is the most common symptom of spondylolisthesis. […] The most common symptom of spondylolisthesis is lower back pain. This is often worse after exercise especially with extension of the lumbar spine. Other symptoms include tightness of the hamstrings, and stiffness and decreased range of motion of the lower back. Pain in the legs, thighs, and buttocks may worsen with standing. Some patients can develop pain, numbness, tingling, or weakness in the legs due to nerve compression. Severe compression of the nerves can cause loss of control of bowel or bladder function, or cauda equina syndrome. […] The prognosis for patients with spondylolisthesis is good. Most patients respond well to a conservative treatment plan. For those with continued severe symptoms, surgery can help alleviate the leg symptoms by creating more space for the nerve roots. The back pain can be helped through a lumbar fusion.
  • #3 Spondylolisthesis Symptoms, Causes & Treatment | Spire Healthcare
    https://www.spirehealthcare.com/conditions/spondylolisthesis/
    Persistent back pain and numbness down your legs may be caused by spondylolisthesis, where one of the bones in your spine has slipped out of position. […] A slipped vertebra can put pressure on the nerves in your spinal canal, which connect your brain and your body. This can cause pain, pinching, numbness and weakness, usually in your lower back and legs. […] Spondylolisthesis is most common in your lower back and might cause these symptoms: Lower back pain which may get worse during activity, Pain, numbness or pins and needles down your legs (these symptoms are known as sciatica), Tight hamstrings, Stiff back, Curvature or bulging of the spine. […] If you have difficulty walking and feel unsteady on your feet, this may also be a sign. […] It’s possible to have spondylolisthesis without any of these symptoms.
  • #3 Spondylolisthesis: Symptoms & Treatment | Seaview Orthopaedics
    https://seaviewortho.com/spondylolisthesis-2/
    The particular type of spondylolisthesis can often dictate specific symptoms that a patient can present with. Symptoms include but aren’t limited to: […] Back pain: this is the most common symptom. […] Leg pain: can be caused by compression of specific nerves in the back. […] Neurogenic claudication: this is the sensation of the patient’s legs feeling “tired” or having discomfort particularly when they exert themselves. Patients will often say that they feel better when the stop and sit down or if they have something to lean on such a grocery cart. This is commonly called the “shopping cart” sign. […] If the nerve compression is very severe, it can cause loss of bowel or bladder control. This is referred to as cauda equina syndrome and is a surgical emergency. Any patient with these symptoms should go immediately to the nearest emergency room.
  • #3 Causes and Symptoms of Spondylolisthesis – Huffman Spine Clinic – Spondylosis
    https://huffmanclinic.com/causes-and-symptoms-of-spondylolisthesis/
    The amount of pain you have depends on how fast your vertebrae are slipping and whether the displaced bone pinches any nerves. […] When spondylolisthesis does cause pain, you may experience low back pain, stiffness, and muscle spasms. […] Some other common symptoms may include: Pain when standing and bending over a countertop or sink, Muscle weakness and the feeling of instability, Pain in the buttocks, Sharp pain extending down the legs, Sciatica (pain radiating down one or both legs), Leg pain will usually be worse when you stand or walk, Occasional numbness. […] The condition can lead to increased lordosis (also called swayback). In later stages, it may result in kyphosis (round-back) as the upper spine falls off the lower spine.
  • #3 Spondylolisthesis (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/spondylolisthesis.html
    Spondylolisthesis can get worse while kids are growing and even into adulthood. […] Many people with spondylolisthesis don’t realize that they have it. Their backs might feel just fine despite a vertebra being out of place. […] When there are symptoms, they often include: pain in the lower back that might feel like a muscle strain, pain in the thighs and buttocks, stiff muscles and tenderness in the lower back, muscle tightness, especially in the hamstring muscles. […] If the vertebra slips far enough to press on the spinal cord or smaller nerves, it can cause increased pain and, in more serious cases, nerve damage. Signs of this include: pain that radiates down the legs, weakness in the legs or trouble walking, trouble peeing or bladder accidents, numbness and tingling in the groin and/or buttocks. […] If spondylolisthesis that causes symptoms isn’t diagnosed and treated, kids can have chronic back pain and a loss of flexibility. In some cases, the degree of slip can worsen over time.
  • #3 Unlocking Spondylolisthesis: A Comprehensive Guide – Neuro Spine & Pain CenterVisit our FacebookVisit our InstagramVisit our TwitterVisit our LinkedInclosebarschevron-downlinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-b
    https://neurologyspineandpain.com/spondylolisthesis-comprehensive-guide/
    Grade 4 spondylolisthesis is characterized by the slippage of more than 75% of one vertebra over another. This stage can be severely debilitating, causing extreme back pain, nerve compression, and even difficulty in controlling bladder and bowel movements. […] The final stage of spondylolisthesis, grade 5, is also known as spondyloptosis. In this stage, the slippage is more than 100% of one vertebra over another, meaning the vertebra has completely slipped off the one below it. At this point, the spinal deformity is severe and can lead to life-altering symptoms, including severe back pain, nerve damage, and loss of motor control in the legs.
  • #3 A Patient’s Guide to Spondylolisthesis | New Jersey Spine Specialists
    https://njspinespecialists.net/blog/spondylolisthesis-guide/
    If spondylolisthesis is left untreated, the vertebrae may continue to slip, which may cause greater nerve compression with increased pain, stiffness, muscle spasms, and numbness. This can also possibly lead to permanent nerve damage, resulting in permanent muscle weakness and paralysis. If you notice an onset of spondylolisthesis symptoms, it is important to visit a qualified spine doctor who can provide you with the correct diagnosis and an appropriate treatment plan to avoid these serious complications.
  • #3 Spondylolysis and Spondylolisthesis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/spondylolysis-and-spondylolisthesis
    Spondylolysis (spon-dee-low-lye-sis) and spondylolisthesis (spon-dee-low-lis-thee-sis) are common causes of low back pain in children and adolescents. […] In many cases, patients with spondylolysis and spondylolisthesis do not have any obvious symptoms. The conditions may not even be discovered until an X-ray is taken for an unrelated injury or condition. […] When symptoms do occur, the most common symptom is lower back pain. This pain may: Feel similar to a muscle strain, Radiate to the buttocks and back of the thighs, Worsen with activity and improve with rest. […] In patients with spondylolisthesis, muscle spasms may lead to additional signs and symptoms, including: Back stiffness, Tight hamstrings (the muscles in the back of the thigh), Difficulty standing and walking. […] Spondylolisthesis patients who have severe or high-grade slips may have tingling, numbness, or weakness in one or both legs. These symptoms result from pressure on the spinal nerve root as it exits the spinal canal near the fracture. […] The majority of patients with spondylolysis and spondylolisthesis are free from pain and other symptoms, sometimes within a few weeks or over several months. In most cases, the patient can gradually resume sports and other activities with few complications or recurrences.
  • #4 Spondylolisthesis: Definition, Causes, Symptoms, and Treatment – Spine Info
    https://www.spineinfo.com/conditions/spondylolisthesis/spondylolisthesis/
    Spondylolisthesis can cause compression of spinal nerves and in severe cases, the spinal cord. The symptoms will depend on which vertebra is affected. […] Cervical Spondylolisthesis (neck) […] Neck pain […] Arm pain […] Arm numbness or tingling […] Arm weakness […] Lumbar Spondylolisthesis (low back) […] Back pain […] Buttock pain […] Leg pain […] Leg numbness or tingling […] Leg weakness […] Spondylolisthesis is classified based on the degree of slippage relative to the vertebra below […] Grade 1: 1 – 25 % forward slip. This degree of slippage is usually asymptomatic. […] Grade 2: 26 – 50 % forward slip. May cause mild symptoms such as stiffness and pain in your lower back after physical activity, but it’s not severe enough to affect your everyday activities. […] Grade 3: 51 – 75 % forward slip. May cause moderate symptoms such as pain after physical activity or sitting for long periods. […] Grade 4: 76 – 99% forward slip. May cause moderate to severe symptoms. […] Grade 5: Is when the vertebra has slipped completely of the spinal column. This is a severe condition known as “spondyloptysis”.