Anterolisthesis at the L5-S1 level is primarily caused by degenerative changes in the spine, such as disc degeneration and facet joint Arthritis, which can weaken the supporting structures. Other factors include trauma or injury, congenital abnormalities, and conditions that lead to instability, such as spondylolysis. Age-related wear and tear also contributes to the condition, as it can affect the alignment and stability of the vertebrae. In some cases, repetitive stress or heavy lifting may exacerbate the issue.
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