Can grade 1 degenerative spondylolisthesis cause bilateral neuropathy?

I'm not a doctor but I think any kind of nerve compression in the spine can cause bilateral neuropathy. Tingling, numbness and weakness in the arms, hands, legs or feet is listed as a symptom by Mayo Clinic for Cervical spondylosis - https://www.mayoclinic.org/diseases-conditions/cervical-spondylosis/symptoms-causes/syc-20370787. I think I would have a discussion about it with the neurologist if it were me..

I personally would tell all my medical provider any new diagnosis or new findings.

@pah17
You can ask the neurologist to do an EMG/nerve conduction study of neuromuscular/nerve health and which can show if there are any compressed/pinched spinal nerves. An orthopedic spine specialist would be able to assess the spondylolisthesis which means you have a vertebrae slipping over the one below which can cause neurological problems. They may recommend a MRI of your lumbar spine to fully assess joints/nerves and soft tissue impact to recommend treatment options. I had L4 slipping over L5 and I had all sorts of problems (severe spinal stenosis, degenerative disc disease, neurogenic claudication) and symptoms from low back to feet (pain, weakness, numbness). I had lumbar spinal decompression and fusion surgery last year which relieved many symptoms but now have to change how I do things due to change in biomechanics.

Hi Pah17,
I am considering lumbar spine decompression surgery.

My surgeon and I are currently going through different non-surgical options first. You know, pt, cortisone shots, etc.

I appreciate that my surgeon does not rush to the surgery option.

I'm curious if you feel like the surgery helped any of the numbness or if it just relieved your pain?

I'd be happy if it either or both at this point.

I have pn in both legs plus severe stenosis and claudication at L-4 thru S-1. The pain from my back issues is severe from my lower back down my left leg to my toes.

TIA

I had back surgery for spondilolisthesis and spinal compression six years ago, with no improvement. There is a syndrome called FSS (seriously) which means Failed Spinal Surgery. The percentage of this result is fairly high. I still have spinal stenosis, but I'll live with it instead of trying surgery again (I'm 84).