What is spondylolisthesis?
Displacement of a lumbar vertebrae following a pedicle fracture
What is the aetiology of spondylolisthesis?
Congenital malformation
Spondylosis
OA
What is the common displacement of the spinal vertebrae?
Anterior
L5 - S1
Presentation of spondylolisthesis?
Sciatica
Pain on standing in lower back and legs
Hamstring tightness
Investigation?
X ray
What may be seen on X ray?
L5 vertebrae pushed forward and large angle between it and S1
Treatment?
Corset
NSAIDs
What are the surgical options?
Nerve release
Spinal fusion