New Jersey Spondylolisthesis

Find expert care for spinal slippage at our Englewood practice.

Spondylolisthesis Care in New Jersey

Spondylolisthesis refers to the forward, backward, or sideways displacement of one vertebra relative to another, often leading to significant back pain and neurological issues. Unlike the commonly referenced “slipped disc”—which is not a term physicians typically use—spondylolisthesis is a genuine slippage of the vertebra that may narrow the spinal canal and affect nerve function.

We welcome you to contact our office in Englewood to schedule a consultation if you suspect spondylolisthesis or seek guidance on available treatment options.

Types of Spondylolisthesis

There are several different types of spondylolisthesis:

Isthmic Spondylolisthesis

This occurs when a fracture develops in the pars interarticularis, also called the isthmus, which helps connect the facet joints. Sports that involve repetitive stress on the lumbar spine or hyperextension can increase the risk of this fracture. If there is a fracture present but no slippage, it's called spondylolysis. Should the vertebra begin to slip due to the fracture, it becomes spondylolisthesis.

Degenerative Spondylolisthesis

Seen more commonly in older adults, degenerative spondylolisthesis emerges when arthritic changes in the facet joints, along with intervertebral disc wear, allow a vertebra to shift. Although slips in degenerative cases rarely exceed 50%, they can still cause significant pain and instability.

Congenital Spondylolisthesis

Some individuals are born with a spinal malformation that makes the vertebrae prone to misalignment. Over time, this structural anomaly may lead to a slip if not identified or managed early.

Pathological Spondylolisthesis

Infection, tumor growth, or other diseases (e.g., osteoporosis) can weaken the vertebrae enough to cause displacement.

Post-Surgical Spondylolisthesis

Vertebrae may shift out of position following certain spine surgeries.

Traumatic Spondylolisthesis

Direct trauma to the spine can fracture or displace the vertebrae, leading to spondylolisthesis.

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Symptoms

Many patients describe heightened back pain while walking, leaning backward, or standing for prolonged periods. Below is an introduction to common symptoms:

Intense or “burning” pain localized to the lower back
Pain that worsens after physical activity
Sciatica, leg discomfort, numbness, and/or weakness
Possible spinal stenosis or neurogenic claudication, manifesting as cramping and early fatigue in the buttocks or thighs

Spondylolisthesis Surgery

Treatment

Dr. Stieber's approach prioritizes stabilizing the spine and preventing ongoing nerve damage. Early detection is essential. The degree of vertebral slippage, determined via X-ray, is assigned a grade:

Grade I: 1–25% slippage
Grade II: 26–50% slippage
Grade III: 51–75% slippage
Grade IV: 76–99% slippage
Grade V: Complete slippage (spondyloptosis)

Many individuals respond well to activity modifications, medications, and short-term rest. Should these measures prove insufficient, Dr. Stieber may recommend spinal fusion to halt further slippage and provide stability. Drawing on minimally invasive techniques, he aims to reduce post-operative pain, shorten hospital stays, and expedite recovery. Although most cases are Grade I or II, higher-grade slips may necessitate surgery even without pronounced symptoms.

We encourage you to reach out for more information about spondylolisthesis and to explore a personalized care plan that fits your goals and lifestyle.