What are the key clinical features to consider when diagnosing spondylolisthesis in a patient presenting with lower back pain?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

When considering spondylolisthesis in a patient presenting with lower back pain, the provided UK guidelines offer general principles for assessing low back pain but do not detail specific clinical features for diagnosing spondylolisthesis ,. The NICE guideline on low back pain and sciatica emphasizes the importance of a thorough assessment, including history and examination, to identify potential serious spinal pathology . While the literature highlights that spondylolisthesis can lead to pain and impact quality of life, the provided context from a case study does not specify diagnostic clinical features . Therefore, based on the provided information, a comprehensive assessment for low back pain, as outlined in general guidelines, is crucial, but specific clinical features for spondylolisthesis are not detailed .

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