For Spondylolisthesis, which type of spinal movement is particularly risky?

In the case of spondylolisthesis, extension of the spine poses particular risks due to the mechanics of the condition. Spondylolisthesis occurs when one vertebra slips forward over another, often leading to instability in the lumbar spine. During extension, the lumbar region is pushed further into an arched position, which increases the anterior shear forces on the vertebrae. This motion can exacerbate the instability caused by spondylolisthesis, potentially leading to more pain and further displacement of the vertebrae.

Flexion, rotation, and lateral bending also require care but generally do not put as much direct strain on the affected segments compared to extension. Therefore, avoiding excessive extension is critical for individuals with this condition to promote spinal safety and stability while engaging in physical activities.