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vertebra. The term means spine slip. This is clearly seen and measurable on routine x-rays. It should not be confused with the chiropractic community's concept of a vertebra being out (without any imaging abnormalities, including x-rays). The typical appearance of spondylolisthesis is one vertebra slipping forward on the vertebra below. Retrolisthesis is a term used to describe when a vertebra is slipping backward on the vertebra below. Lateralolisthesis describes the vertebra that is displaced to the side of the vertebra below. Rotatory listhesis is a degenerative condition where a vertebra rotates on the vertebra below. DIAGNOSIS Routine standing spinal x-rays are the best way to diagnose vertebral malalignment such as spondylolisthesis. Flexion and extension (patient bending forward and backward with maximum effort)
Spondylolisthesis describes the misalignment of the vertebrae of the spine due to the deterioration of joints and discs to hold the vertebrae in place. As the joints and discs deteriorate due to spondylosis, a vertebra might slip out of alignment, either moving into the spinal canal or over top of the vertebra below it.