How To Treat Retrolisthesis

Spinal Surgery

Despite advancing knowledge and aggressive treatments to maximize outcomes in cases of retrolisthesis, conservative treatment options may fail. The translation of one vertebra on top of the adjacent vertebra is poorly tolerated in the human spine, and with repetition, altered biomechanics may lead to overall spinal instability. Often initially demonstrated with neurological decline, such as muscle weakness or decreased sensation, spinal instability requires stabilization through surgery.

In most circumstances, the spinal surgery required is spinal fusion. During a spinal fusion procedure, hardware such as screws, plates, and cages are utilized to immobilize one or more motor units of the spine. Designed to stabilize the spinal unit, this spine surgery protects the fragile nerves and spinal cord structures that may have been at risk for severe damage and loss. While typically not an initial course of treatment in a spinal retrolisthesis, the potential need for spinal fusion surgery emphasizes the importance of having all cases of spinal retrolisthesis thoroughly examined and evaluated by a physician who specializes in spinal care.