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What Causes Spondylolisthesis

The bones in your spine come together at several small joints that keep the bones lined up while still allowing them to move. Spondylolisthesis is caused by a problem with one or more of these small joints that allows one bone to move out of line. Spondylolisthesis may be caused by any of a number of problems with the small joints in your back. You could have:

  • A defective joint that you've had since birth (congenital).
  • A joint damaged by an accident or other trauma.
  • A vertebra with a stress fracture caused from overuse of the joint.
  • A joint damaged by an infection or arthritis.



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Spondylolisthesis affects children and teens involved in sports. Some sports, such as gymnastics or weight lifting, can overuse back bones to the point of causing stress fractures in vertebrae, which can result in spondylolisthesis.

Older adults can develop spondylolisthesis, because wear and tear on the back leads to stress fractures. It can also occur without stress fractures when the disc and joints are worn down and slip out of place.


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This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient.
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