If there is no pain, there is no need for special treatment. If there is intractable back pain induced by lumbar spondylolisthesis or leg pain and numbness caused by compression of nerves, surgical treatment is needed.
1. The causes of lumbar 5 bilateral arch disintegration are diverse, which may be related to congenital dysplasia, and closely related to lumbar strain or trauma, and generally have no symptoms in the early stage, and do not require special treatment.
If there are tired or sedentary back pain usually can do lumbar back muscle exercise, such as flatbed support, swallow fly, arch bridge movement, walking backwards to increase the strength of the lumbar back muscles, so that lumbar spine stability increased, usually avoid doing tired work.
2. If lumbar 5 bilateral arch collapse combined with lumbar spondylolisthesis, and there is persistent low back pain, the effect of conservative treatment is not good, you can consider lumbar spondylolisthesis reset internal fixation surgery.
3. If the lumbar spondylolisthesis isthmic fracture slipped and compressed the nerve root, intermittent claudication, low back pain, leg pain, leg numbness, weakness, need to take surgical treatment, nail rod repositioning decompression internal fixation.
So lumbar 5 bilateral arch collapse specifically according to the patient’s symptoms and radiographs with or without lumbar spondylolisthesis as prescribed by the doctor.