Spondylolisthesis

Spondylolisthesis is a displacement of a vertebra in which the bone slides out of its proper position onto the bone below it. Most often, this displacement is caused by degenerative changes in the spine. It may also occur following a break or fracture, especially following a hard fall straight on one’s buttocks. 
Diagnosis can be made by a simple set of anterior, posterior and oblique x-rays, with the oblique being the most critical. When a technician or doctor analyses the x-ray, the joint in between the bones (pars interarticularis) demonstrates a classic “Scottie dog” appearance. 
Spondylolisthesis is categorized into grades. 
Grades I to II can be comfortably treated by osteopathy and physiotherapy. In fact, Simeon Asher has developed a special treatment algorithm based on his NAT shoulder approach. 
Symptoms of grade I/II spondylolisthesis are:
  • Chronic back ache or pain, and leg pain, usually both sides with one side more severe than the other
  • Sensations in the legs and feet
  • Buttock/hip pain
Grade III and IV can be more serious and cannot be treated by osteopathy – complications may include:
  • Weakness of the legs
  • Temporary or permanent damage of spinal nerve roots
  • Loss of bladder control
If you experience any of the more serious symptoms, seek medical advice immediately.