Spondylolisthesis is when one vertebra slips forward over the vertebra below it. Most often, that happens in the low back (lumbar spine) because that part of your spine bears a lot of weight and absorbs a lot of directional pressures.The goals of surgery are to stabilize the spine. The result is to reduce pain and neurologic symptoms. Improved quality of life usually follows. The surgeon may see it as a simple decision. It isn't always so easy for the patient.Research show if you have had conservative (nonoperative) care for six months or more and still have symptoms, then surgery is advised. If the surgeon doesn't think surgery will help, then patients must continue with conservative care and manage the symptoms. Loss of bladder or bowel control is a clear sign that surgery is needed. incidence of spondylolisthesis increased with age among the men and may be more prevalent than first thought. However, it did not seem to have any connection between the men's height, weight, or smoking history, nor did it with any history of diabetes or heart disease. There did seem to be a connection between the condition and the number of men who reported the highest levels of leisure physical activity (In Spine. May 1, 2010. Vol. 35,)

Sports athletes are not immune to low back pain. Bony defects such as spondylolysis and spondylolisthesis present from birth or as a result of stress fractures from overuse can be a common cause of lumbar instability. In the case of spondylolysis, the supporting bony column (called the pars interarticularis) fractures. If the fracture displaces (separates) and the vertebral body shifts forward, the condition is referred to as spondylolisthesis.

It is estimated that nearly half of all low back pain in athletes comes from spondylolysis/spondylolisthesis. And there isn't one main sport or activity where these injuries occur most often. Anyone who participates in a sport that includes extension of the spine with rotation (and especially rotation with compression or load) is at risk. For example, this condition has been reported in dancers, gymnasts, figure skaters, weight lifters, and football players.

As you might imagine, most athletes would prefer a nonoperative approach to treatment -- but preferably one that gets them back on their feet and returns them to full participation quickly.

Patient was diagnosed of there is anterior displacement of l5 in relation to s1.the pars interarticularis of l5 is irregular suggestive frature..the rest of the vertebral bodies and disk spaces are intact...grade 1 spondylolisthesis,l5 over s1,spondylolysis of l5...she was undergo rehab treatment for more than a year but my autie still complaining pain and sometimes numbness and tingling sensation radiating to her both lower extremities..

It is a common misconception that back pain always stems from the pressure of a slipped disc,a trapped nerve or spondylolisthesis. This is misleading, the cause of pain is inflammation stimulating nerves, causing the pain signal,so if there are no inlammation around L5/S1,even though spondylolisthesis existing,patient can't feel pain.

Surgery or Unsurgery?it dependent on where the inflammation is . Unsurgery therapy works when the inflammation is outside of the spinal column. unsurgery therpay does not work when the inflammation is in the spinal column itself.

How to know where inflammation? you should go to doc.

The consequences of untreated spinal fractures can be devastating. If a patient suffers one vertebral compression fracture, the risk of suffering a second fracture increases five-fold. After an injury, there may be slight reduction in the swelling and pain, and the patient may want to ignore back aches. However, left unattended, many fractures can result in an exaggerated rounded curvature of the spine, called kyphosis, or dowager's hump. That's why it is very crucial to see your doctor as soon as the injury has occurred and when the pain is acute

New research conclude that spondylolysis and spondylolisthesis are more common than we thought. These conditions do not seem to be linked with low back pain. This is an important finding as surgery is one possible treatment option for spondylolisthesis. But if spondylolisthesis is not the true cause of the back pain, then surgery may not be needed. Conservative (nonoperative) care may be all that's needed.
Leonid Kalichman, PT, PhD, et al In Spine. January 2009. Vol. 34. No. 2. Pp. 199-205.

ScienceDaily (June 3, 2009)