Spondylolisthesis

Spondylolisthesis occurs when one vertebra slips forward over the bone beneath it. While mild cases may cause few symptoms, more advanced cases can create spinal deformity, nerve compression, and loss of balance. For patients with severe or progressive spondylolisthesis, surgery may be the only way to restore stability and prevent further complications.
At The Scoliosis & Spine Deformity Institute, Dr. Saqib Siddiqui specializes in treating advanced, complex cases of spondylolisthesis, particularly when deformity is involved. Unlike general degenerative spine surgeons, Dr. Siddiqui is a fellowship-trained deformity surgeon who focuses exclusively on the most challenging spinal conditions. His goal is not just to stabilize the slipped vertebra, but also to restore overall spinal alignment and function.
To schedule a consultation, call (833) SPINE 11 or email [email protected] today.
Our institute serves patients at three Texas locations - The Woodlands (Houston), Plano (Dallas), and Corpus Christi - and welcomes families traveling from across the United States and internationally.
Understanding Spondylolisthesis
There are different types of spondylolisthesis, each with its own cause:
- Degenerative – caused by age-related changes in discs and joints of the spine
- Congenital (isthmic) – present from birth due to a defect in the vertebra
- Traumatic – the result of a fracture or injury
- Post-surgical – when instability develops after prior spinal procedures
While mild spondylolisthesis may remain stable, progressive cases can lead to visible deformity, nerve irritation, and difficulty standing or walking.
When Surgery is Needed
Not every patient with spondylolisthesis requires surgery. However, surgical correction is often recommended when:
- The slip is severe or continues to progress
- There is associated spinal deformity or imbalance
- Nerve compression leads to weakness, numbness, or radiating leg symptoms
- Daily activities and mobility are significantly affected
- Non-surgical options no longer provide relief
For advanced cases, it’s important to seek care from a deformity surgeon rather than a general spine surgeon. These cases often require more than a simple stabilization. They involve complex reconstruction of the spine to restore alignment and long-term stability.
Advanced Surgical Options for Spondylolisthesis
Dr. Siddiqui uses advanced surgical techniques to treat severe slips and associated deformities. Depending on the severity and location, surgery may include:
- Spinal fusion with instrumentation (rods and screws) to stabilize the slipped vertebra
- Reduction techniques to realign the vertebra into a more natural position
- Deformity correction when scoliosis, kyphosis, or imbalance are present alongside the slip
- Intraoperative navigation and imaging for precise, safe correction
- Customized surgical planning based on the patient’s anatomy and long-term goals
Each operation is designed not only to stop progression, but also to improve posture, restore balance, and reduce the long-term risk of further instability.
Recovery and Long-Term Benefits
Surgery for severe spondylolisthesis can be transformative. Many patients experience:
- Greater spinal stability and confidence in movement
- Relief from nerve-related symptoms such as numbness or weakness
- Improved posture and alignment
- The ability to walk and stand for longer periods without discomfort
- Renewed independence in daily activities
From the first consultation to recovery, patients are supported with personalized care and clear guidance.
Expertise That Makes the Difference
For patients facing severe or complex spondylolisthesis, choosing the right surgeon is critical. Dr. Siddiqui stands out for his:
- Fellowship training focused exclusively on scoliosis and spinal deformity surgery
- Over two decades of surgical experience managing complex spine cases
- National and international recognition as a leader in spinal deformity correction
- Specialization in advanced deformity cases beyond the scope of most general spine surgeons
- Dedication to individualized, compassionate care for every patient
Out-of-State and International Patients
Many patients travel to The Scoliosis & Spine Deformity Institute for complex spondylolisthesis surgery. Houston’s reputation as a world-class medical destination, combined with Dr. Siddiqui’s expertise, makes our institute a trusted choice for both out-of-state and international families.
For international patients, accepted insurance plans include:
- GeoBlue Xplorer Worldwide Medical Plan
- Cigna Global Insurance Plan
- IMG Global Medical Plan
Insurance and Coverage
Please note: The Scoliosis & Spine Deformity Institute does not accept Medicare, Medicaid, Tricare, or HMO insurance plans. We work with commercial insurance providers and offer support for patients choosing to self-pay. Our administrative team helps clarify coverage and financial arrangements.
Take the Next Step
If you or your loved one has been diagnosed with advanced spondylolisthesis, especially when deformity is involved, choosing a deformity surgeon is the key to achieving the best long-term outcome.
Call (833) SPINE 11 or email [email protected] to request your consultation at any of our Texas locations.
The Scoliosis & Spine Deformity Institute proudly serves patients across Texas, the United States, and internationally, offering world-class surgical solutions for complex spondylolisthesis and spinal deformities.