Listhesis Of L5-S1

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Because your muscles are the only effective way of controlling your slipping vertebrae, exercises will be aimed at the recruitment of your deep spinal stabilising muscles.

You may also be prescribed gentle stretches to improve your posture and help to reduce your back pain or leg symptoms.

Classification by degree of the slippage, as measured as a percentage of the width of the vertebral body: If your physiotherapist or doctor determines that a spondylolisthesis is causing your pain, non-surgical treatment is the primary choice.

Treatment will include activity modification plus some specific exercises.

They will also show whether any of the nearby facet joints or discs have suffered any degeneration.

If a spondylolisthesis is present, it is graded as I (mild), II, III, IV or V based on how far forward the vertebra has slipped.If you do have symptoms, they may include: The two major causes of spondylolisthesis are isthmic spondylolisthesis associated with spondylolysis and degenerative spondylolisthesis associated with degeneration of the posterior facet joints (spondylosis) and/or intervertebral disc (degenerative disc disease).Degenerative spondylolisthesis occurs mostly (88.5%) at the L4-5 level as opposed to isthmic spondylolisthesis, which occurs most often at the lumbosacral level (L5-S1) (84.6%).The vertebrae slip forwards without a fracture present.The slippage is related to chronic spinal segment instability due co-existing pathologies such as degenerative disc disease or facet joint arthritis (spondylosis).The slippage may occur following structural changes (eg fracture or spondylolysis) or degenerative changes in the spine (eg spondylosis or degenerative disc disease).Approximately 5% of the population has a spondylolisthesis. The upper vertebral body is displaced backwards relative to the vertebrae below. It can occur in advanced degenerative spines or after asymmetrical fractures or severe scoliosis. In these instances, your spondylolisthesis is so extensive that the upper vertebrae translates entirely forward and off the vertebrae below. Spondylolisthesis may not cause any symptoms for years (if ever) after the slippage has occurred.They are also more likely to cause recurrent symptoms.Due to the whole vertebrae and arch slipping forwards degenerative spondylolisthesis can cause spinal stenosis and compromise spinal nerve roots.A comprehensive program may require several weeks or a few months of supervised treatment.For specific advice relative to your spondylolisthesis, please consult your physiotherapist for an individualised assessment.

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