What is the most appropriate alignment for a patient with L5-S1 spondylolisthesis using a prescribed LSO?

In the case of a patient with L5-S1 spondylolisthesis, the most appropriate alignment with a prescribed LSO (lumbar support orthosis) is to decrease lumbar lordosis. This condition often results in an anterior displacement of the vertebra at the L5 level, which can lead to increased stress on both the vertebral bodies and surrounding structures, potentially exacerbating pain and instability.

Decreasing lumbar lordosis can help by reducing the forward tilt of the pelvis and decreasing tension on the lumbar spine, promoting a more stable posture. This alignment aims to relieve pressure on the affected segments while providing support that can assist in pain reduction and prevention of further slippage.

Moreover, adopting a position with decreased lordosis can facilitate a more balanced distribution of forces across the spinal segments, mitigating symptoms and aiding in functional mobility. Maintaining a more neutral spine alignment is essential for overall spinal health, especially in individuals with spondylolisthesis. This approach helps manage symptoms and creates an environment conducive to healing.