Summary of Guidelines for the Treatment of Lumbar Spondylolisthesis

Neurosurg Clin N Am. 2019 Jul;30(3):353-364. doi: 10.1016/j.nec.2019.02.009.

Abstract

Degenerative lumbar spondylolisthesis is a common cause of low back pain, affecting about 11.5% of the United States population. Patients with symptomatic lumbar spondylolisthesis may first be treated with conservative management strategies including, but not limited to, non-narcotic and narcotic pain medications, epidural steroid injections, transforaminal injections, and physical therapy. For well-selected patients who fail conservative management strategies, surgical management is appropriate. This article summarizes the guidelines for the treatment of lumbar spondylolisthesis.

Keywords: Clinical guidelines; Degenerative lumbar spondylolisthesis; Interbody; Minimally invasive surgery; Spinal decompression; Spinal fusion; Spinal laminectomy.

Publication types

  • Review

MeSH terms

  • Humans
  • Low Back Pain / surgery*
  • Lumbar Vertebrae / surgery
  • Lumbosacral Region / surgery*
  • Pain Measurement*
  • Spondylolisthesis / diagnostic imaging
  • Spondylolisthesis / surgery*
  • Treatment Outcome