It is a very common finding seen on routine x-rays of lower back. The most common level involved is L4/5 however not all spondylolisthesis seen on xray are symptomatic. Commonly they present with symptoms of neurogenic claudication rarely they may present with radiculopathy like symptoms. Most common cause for this slip is degenerative changes in spine other rare causes can be lytic-listhesis or from post-traumatic causes.
Rarely degenerative spondylolisthesis may be seen in cervical spine .
No weakness and quality of life not affected by symptoms/only back pain – Careful observation, Medicines, and physiothjerapy, pain management injections.
If patient has developed weakness / quality of life is severely affected then surgical options are indicated.