High-Grade Spondylolisthesis (Slipping Vertebra)

Dr Basil Al Sharef
2 days ago
1 min read

High-grade spondylolisthesis occurs when one vertebra slips forward by more than 50% over the vertebra below it, most commonly at the L5–S1 level.

⚠️ Common Symptoms

✔️ Persistent low back pain that does not improve with conservative treatment

✔️ Pain radiating to the buttocks or legs (sciatica)

✔️ Numbness, tingling, or weakness in the legs

✔️ Difficulty walking or standing for long periods due to leg pain or heaviness (neurogenic claudication)

📊 Meyerding Classification

• Grade I: 0–25% slippage

• Grade II: 26–50%

• Grade III: 51–75%

• Grade IV: 76–100%

• Grade V (Spondyloptosis): >100%

🩺 Treatment

Surgical treatment may involve spinal stabilization, neural decompression, reduction of vertebral slippage, and spinal fusion to restore stability and relieve nerve compression.

Early diagnosis and appropriate treatment can help restore mobility and improve quality of life.

👨🏽‍⚕️Dr. Basil Al Sharef specializes in treating all grades of spondylolisthesis, including severe cases of spondyloptosis, using posterior and combined lumbosacral approaches tailored to each patient’s condition.

𝑫𝒓.𝑩𝒂𝒔𝒊𝒍 𝑨𝒍 𝑺𝒉𝒂𝒓𝒆𝒇 𝒊𝒔 𝒈𝒆𝒓𝒎𝒂𝒏 🇩🇪𝒂𝒏𝒅 𝒔𝒘𝒊𝒔𝒔🇨🇭 𝒃𝒐𝒂𝒓𝒅 𝒄𝒆𝒓𝒕𝒊𝒇𝒊𝒆𝒅 𝑺𝒆𝒏𝒊𝒐𝒓 𝑪𝒐𝒏𝒔𝒖𝒍𝒕𝒂𝒏𝒕 𝑺𝒑𝒊𝒏𝒆 𝒂𝒏𝒅 𝑫𝒆𝒇𝒐𝒓𝒎𝒊𝒕𝒚 𝑺𝒖𝒓𝒈𝒆𝒐𝒏, 𝒘𝒉𝒐 𝒕𝒓𝒆𝒂𝒕𝒔 𝒂𝒍𝒍 𝑺𝒑𝒊𝒏𝒂𝒍 𝑷𝒂𝒕𝒉𝒐𝒍𝒐𝒈𝒊𝒆𝒔 𝒊𝒏𝒄𝒍𝒖𝒅𝒊𝒏𝒈 𝒄𝒐𝒎𝒑𝒍𝒆𝒙 𝑺𝒑𝒊𝒏𝒆 𝑺𝒖𝒓𝒈𝒆𝒓𝒚 𝒂𝒏𝒅 𝑹𝒆𝒗𝒊𝒔𝒊𝒐𝒏 𝑺𝒖𝒓𝒈𝒆𝒓𝒊𝒆𝒔

Dr Basil Al Sharef | German Spine Surgeon Dubai | Pioneer of Complex Spine Surgery | German and Swiss Board Certified