| Gradual & repetitive increase in symptoms that gradually worsen especially |
Degenerative SpondylolisthesisLoss of disc heights with slippage forwards or backwards of the upper vertebra. |
Muscle Balance Physiotherapywith 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. |
