What movement should be avoided in cases of spondylolisthesis?

In cases of spondylolisthesis, avoiding hyperextension of the spine is crucial because this movement can exacerbate the condition by placing additional stress on the affected vertebrae and potentially worsening the forward slippage of the vertebral body. Spondylolisthesis involves a displacement of one vertebra over another, often leading to instability. Hyperextension can increase the burden on the lumbar region, particularly at the site of the slippage, which can lead to increased pain, nerve compression, and further injury.

Flexion of the spine may be more tolerable in some cases, as it can alleviate pressure on the affected area. Similarly, while lateral bending and rotational movements may not be ideal, they do not inherently impose the same level of compressive force on the spine as hyperextension does. Thus, focusing on limiting hyperextension is key to managing symptoms and preventing further complications in individuals with spondylolisthesis.