Degenerative spondylolisthesis is a spinal condition which the vertebral body shifts forwards in relation to the vertebral body below.
This phenomenon results in a reduction in the space of the spinal canal, leading to compression of the spinal nerves at that level. Patients with this condition tend to complain of backache as well as radiating pain and numbness down the legs. As the condition progresses with age, patients may report a reduction in their walking distance.
This is a degenerative condition and tends to affect patients in their 50’s and above.
The intervertebral disc undergoes degeneration initially and this will result in an increase in stress to the facet joints. The facet joints will then undergo degeneration, and this degenerative process will lead to instability and an eventual slip of one vertebral body over the other. This can result in compression of spinal nerves at that level.
Lower backache is the commonest presentation in patients with this condition. As the condition progresses, patients may complain of radiating pain or numbness down their legs.
Your doctor will assess your posture, movement, and strength to evaluate how your spine and muscles are functioning.
An X-ray helps detect signs of fractures, degenerative changes, or issues in the bones of the spine.
An MRI provides detailed images of soft tissues like discs, muscles, and nerves, helping identify conditions such as herniated discs or nerve compression.
A CT scan allows us to visualize the bones more clearly.
Patients can be treated initially with a course of physiotherapy and painkillers. If their symptoms do not improve with conservative management or they experience any weakness of their legs, surgery should be considered.
Laminectomy and fusion surgery is usually the surgical treatment of choice to address the issues of nerve compression and instability of the spine (Figure B). This surgery can be performed in a minimally invasive manner and patients usually only need to stay for two nights postoperatively, hence ensuring minimal downtime
There are a variety of pain treatment options available, ranging from non-surgical methods to surgery, depending on the severity of your condition.
In some cases, surgery may be necessary if other treatments have not provided sufficient relief or if you are suffering from conditions such as a herniated disc, spinal stenosis, or severe nerve compression. Surgical options might include:
We work closely with trusted insurance partners to make your treatment seamless. Contact us, and we’ll guide you through the process at every step of the way.
Dr. Marcus Ling is a Senior Consultant Orthopaedic Surgeon with a special focus on minimally invasive and motion-preserving spinal surgery. A dedicated clinician and educator, he has led advancements in spinal care while mentoring future surgeons. Known for his compassionate approach, he prioritises patient well-being, ensuring expert, personalised treatment for every individual. Dr. Ling is also one of the few surgeons that can perform awake spinal fusion without the need for general anaesthesia. This approach minimises downtime, allowing patients to be discharged within 24 hours of surgery when possible.
Reach out to our team today to explore your treatment options, schedule an appointment and start your journey towards enhanced health and mobility.
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