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Understanding Spondylolisthesis: Causes, Symptoms, and Treatment Options

Dong-moon Jeong, Director of the Spine Center of Daedong Hospital

[라포르시안] The spine, called the pillar of the body, is straight when viewed from the front, but when viewed from the side it is S-shaped for walking upright. If you look closer, the 26 vertebrae are arranged in a certain alignment, with other bones stacked on top of each other. If the upper vertebrae protrude forward compared to the lower ones for various reasons and the alignment is abnormal, it is called. ‘spondylolisthesis’.

In cases of degenerative changes such as the widening or narrowing of the spinal joints due to aging, in cases of forward shift of the center of gravity due to abdominal obesity, in cases of congenital structural anomalies, in cases where a force is applied excessive pressure on the spine during childhood or adolescence, trauma, etc. can be seen as a cause. Spondylolisthesis can occur anywhere on the spine, but most commonly occurs below the waist.

Main symptoms include pain in the lower back and buttocks when walking or changing posture, as well as numbness or pulling in the legs. In severe cases, you may often experience leg cramps and feel that your legs are cold. When pressure is placed on the nerves due to a misaligned spine, the pain worsens when walking and decreases when the back is bent, but then worsens when the back is straightened or moved.

Jeong Dong-moon, director of the Spine Center at Daedong Hospital, said: “Spondylolisthesis, as the name suggests, is a painful disease in which the spine is pushed forward (displaced). Symptoms are similar to other diseases of the spine is difficult to determine for an individual, but it is difficult to determine due to age or difficulties. So, you shouldn’t take it lightly just because your back hurts,” he said. “If left untreated, the back joints could thicken due to the body’s compensation, which can lead to spinal stenosis. Therefore, if you experience any abnormal symptoms in your spine that are different than usual, it is best to consult a neurosurgeon.

Spondylolisthesis is diagnosed by checking the structure of the vertebrae and the degree of displacement through a

At first, conservative treatments such as bed rest, medications, and physical therapy are performed to relieve pain and stabilize the spine. Lifestyle habits are corrected to maintain correct posture and, in case of overweight, weight control is necessary. If pain makes daily life difficult despite conservative treatment, surgery may be considered.

To protect spinal health, including spondylolisthesis, it is best to correct postures that put strain on the back, such as squatting or bending to lift heavy objects, and avoid obesity or smoking, which promote degenerative changes. Additionally, you need to eat foods that support joint health, such as calcium and vitamin D, and exercise at least three times a week to strengthen your muscles.

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