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Spondylolisthesis
Pathologies
Information & Treatment
About the treatment
Symptoms and Pain Localisation
Spondylolisthesis can cause back pain, which worsens with physical activity.
Pain radiating down the legs, resembling sciatica, may also occur as a result of nerve compression.
Symptoms also include stiffness in the lower back, difficulty walking or standing, and pain in the thigh or buttock.
About the treatment
Causes & Factors
Spondylolisthesis occurs when one vertebra slips forward onto the lower vertebra.
This can be due to age-related degenerative causes, congenital abnormalities, trauma or repetitive overuse injury.
The main risk factors include ageing, overweight, intense physical activity and certain congenital malformations.
About the treatment
Duration and treatment
Symptoms may improve with conservative treatment (rest, physiotherapy, anti-inflammatories).
- In the event of persistent pain, a medical consultation is recommended.
- If symptoms do not improve after 6 weeks, a radiological examination (MRI or CT scan) is required to assess severity.
- In the event of significant slippage or failure of conservative treatment, surgery may be considered to stabilize the spine.
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Diagnosis
Spondylolisthesis is diagnosed by X-rays of the spine to assess vertebral displacement. A CT scan or MRI may be recommended to determine the severity of slippage and associated nerve compression.
Conservative Treatment
Rest and moderate activity, avoiding sudden movements or heavy loads. Painkillers, anti-inflammatories and infiltrations may be prescribed to relieve lumbar and nerve pain.
Physical therapy
Focused on strengthening back and abdominal muscles to stabilize the spine. Stretching and postural correction exercises can help reduce pressure on nerves and improve spinal stability.
Indications for Surgery
Surgery considered if conservative treatment fails or in cases of severe vertebral displacement. The aim is to stabilize the spine and decompress the nerves to relieve pain and restore function.
When to seek emergency treatment
In the event of intense pain, weakness or paralysis in the legs, urinary disorders or significant nerve compression, immediate consultation is required.
Types of Surgery
Surgical options for treating spondylolisthesis include nerve decompression and vertebral stabilization using spinal fusion techniques.
Post-operative convalescence
Most patients experience a significant improvement in pain after surgery. Post-operative pain generally subsides within 2 to 3 weeks.
Persistent pain
Pain may persist if nerve compression is prolonged. Neuropathic pain is usually treated medically, according to the doctor's advice.
Spinal Stabilization and Fusion Surgery
This procedure is often necessary to stabilize the spine after decompression. Screws and rods are implanted to hold the vertebrae in place, helping to prevent further slippage and restore stability.
Purpose of the operation
The main aim is to reduce pressure on the nerves and stabilize the slipped vertebrae to relieve pain. Post-operative rehabilitation focusing on muscle strengthening helps restore function and improve mobility.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
