Posted in Back Pain, Pars Fracture, Uncategorized

What is Spondylolithesis?

I was diagnosed April 2016 with Spondylolithesis in my L5 S1

Spondylolisthesis is a condition in which one bone in your back (vertebra) slides forward over the bone below it. …

 This causes me intense back pain and numbness or weakness in one or both legs.
It’s crazy how depending where or how I sit my legs yes both legs go numb

You have pain when you walk, pain when you sit, pain when you stand somedays it’s overwhelming 

I’m a grade one at least I was  in April 2016

Well let’s say since 2012

You see I had a back issue in 2012 went to my former dr

Who ordered Xray on my back, I was told I had OA 

I was never told I had Spondylolithesis or any slippage 

I found out I had Spondylolithesis and a par fracture in 2016 under the care of my new amazing PCP. 
In my opinion if you want better health care see a woman doctor.

A diagnosis for a bilateral pars fracture is scary.

A pars defect or spondylolysis is a stress fracture of the bones of the lower spine. These fractures typically occur due to overuse. They can be on one or both sides of the vertebrae. It is a common cause of low back pain in children and adolescents. The most common cause of low back pain is muscular, secondary to overuse or deconditioning.

A pars fracture or defect-

What causes a pars defect/spondylolysis?
Pars defects are caused by overuse of the low back, mainly from sports that involve repetitive back bend-like motions.  Examples include: gymnastics, football, diving, etc.  Sometimes children are born with a very thin pars area which puts them at increased risk for this injury. 

What are the symptoms of pars defect/spondylolysis?
Initially children may not have any symptoms.  In teens, the main symptom is low back pain that worsens with activity and improves with avoiding the sport/activity that causes repeated back bending.  Symptoms can progress to interfere with normal daily activities. 

How is it diagnosed?
A diagnosis is made with physical exam, x-rays, and occasionally a bone scan.  In some cases a CT scan is needed for further assessment and planning.  

Xray from April 2016 above 

Xray from 2012

A commonly adopted method of grading spondylolisthesis is the Meyerding classification, based on the ratio of [overhanging part of the superior vertebral body] to [anteroposterior length of the adjacent inferior vertebral body]: 
grade I: 0-25%

grade II: 26-50% 

grade III: 51-75% 

grade IV: 76-100%  

grade V (spondyloptosis): >100%

I went to p t a few times for Spondylolithesis in 2016

It helped some but pain never really went away. 

Here are some videos I use at home as well




Bob and Brad Physical Therapists on Spondylolisthesis