To diagnose anterolisthesis, doctors will typically begin with a physical exam. The key sign of any kind of spondylolisthesis, including anterolisthesis, is pain with lumbar extension. Doctors may also ask their patients to perform certain maneuvers to test the spine’s range of motion and locate the source of the pain. People with severe anterolisthesis sometimes have a unique pelvic tilt that changes the shape of their buttocks.

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