Advanced care for "slipped vertebrae" – stabilizing your spine with modern, minimally invasive techniques.
Spondylolisthesis (spon-di-lo-lis-thee-sis) is a spinal condition where one of the lower vertebrae slips forward onto the bone directly beneath it. This is different from a "slip disc" (which involves the soft cushion). Here, the bone itself shifts position.
This slippage can compress the spinal cord or nerves, leading to lower back pain, leg pain (sciatica), and hamstring tightness. It is common in older adults (degenerative) but can also occur in young athletes (isthmic).
Doctors classify the severity based on how much the bone has slipped forward.
Less than 25% slip. Often treated without surgery.
25% to 50% slip. May cause significant pain.
50% to 75% slip. Usually requires stabilization.
More than 75% slip. Severe instability.
For Grade 1 and mild symptoms, we always start here.
For higher grades or when nerve pain persists.
Transparent pricing for self-pay patients. Insurance packages available.
| Procedure | Estimated Cost Range (INR) | Typical Recovery | Includes |
|---|---|---|---|
| MIS TLIF (Fusion) | ₹2,50,000 - ₹3,50,000 | 4-6 weeks |
|
| Open TLIF (Fusion) | ₹2,00,000 - ₹2,80,000 | 6-8 weeks |
|
| Laminectomy (Decompression) | ₹1,20,000 - ₹1,60,000 | 2-3 weeks |
|
Note: These are estimated ranges for standard cases. Final cost may vary based on room category, specific implants required, and medical complexity. Cashless insurance facilities are available with major TPAs.
Credentials discussed in clinic: MBBS and DNB Neurosurgery. Germany-related training is a German observership in full endoscopic spine surgery (2024).
Clinical assessment
Examination and imaging
Suitability for this procedure is decided after history, neurological examination, and review of your MRI or CT — not from a published percentage.
Counselling
Risks and alternatives
If a procedure is considered, the visit covers expected recovery, alternatives including non-surgical care, and questions to ask before consent.
Next step
Book an OPD visit
Request a consultation to discuss your scans. Discharge timing and recovery are individual and are discussed after examination.
Ready to take the next step?
Spondylolisthesis can progress if untreated. Get a proper evaluation and treatment plan.
Find specialized treatment for your condition at a clinic near you.
Not always. Surgery is usually recommended only if you have Grade 3/4 slips, or if you have Grade 1/2 slips with persistent nerve pain/weakness that hasn't improved after 6 weeks of rehabilitation and medication.
The cost typically ranges from ₹2.5 Lakhs to ₹3.5 Lakhs for Minimally Invasive TLIF (Fusion). This includes hospital stay, implants, and surgeon fees. Open surgery may cost slightly less, but recovery is longer.
After MIS-TLIF, walking timing is decided by the team for each patient. Desk work can often resume in 3-4 weeks. Complete bone fusion takes 3-6 months, during which heavy lifting is restricted.
Grade 1 slips can often be stabilized with core strengthening exercises. While the slip itself won't reverse, symptoms often settle enough that surgery is not needed.
MIS TLIF is done through smaller incisions with a muscle-sparing approach. Which technique suits you depends on your anatomy and is discussed after imaging; recovery is individual.
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Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 19 October 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.