Spondylolisthesis Treatment

Spondylolisthesis is defined as slow anterior displacement of a vertebra at lower lumbar spine generally lower most vertebras L5 –S1.  Frequently occurs between the age of 10 -15 years.  Girls are more affected than boys.

Clinical Features Of Different Spondylolisthesis


True (Isthmic)



Clinical Features

Asymptomatic or low back pain

Low backache pain, buttocks, feet, toes, thigh and legs.

Intermittent symptoms is common in elderly patients


History of trauma present in 50%. Common history of injury in adult and children


Five times more common in female


Increase lumber lordosis

Stiffness of spine present

Pain in back, buttock or thigh


Palpable step L5 S1

Buttocks are flat


Torso is short

Scoliosis, pelvic waddle present


Transverse furrow at L5

Cannot bend beyond lower thigh


Sacrum is vertical


Buttock flat and hamstring tightness


Scoliosis in 13%



L5 nerve root involved but rare

L5 S1

L5 rare, L3 L4 common


Neurological claudication present


Physiotherapy Measures

  • Rest
  • Bracing – children rigid brace or adult corset
  • Modalities – Short wave, Ultra Sound, Tens
  • Correct postural habits
  • Exercises – Mobility exercises, active posterior pelvic tilt, abdominal exercises, forward bending exercises, prone lying and repeated stretching of hamstring.