There is no so-called best way to treat lumbar spondylolysis in the elderly, clinical treatment usually take conservative treatment and surgical treatment, the specific treatment should be determined according to the condition and individual physical condition. 1. Conservative treatment: It is suitable for patients with mild lumbar spondylolysis and only lumbar pain. They should avoid exertion or stooping and weight bearing in daily life, and wear a waist cushion when they move around, and take non-steroidal anti-inflammatory and analgesic drugs such as ibuprofen and nerve-nourishing drugs such as methylcobalamin or other medications. 2. Surgery: If the lumbar spondylolisthesis is serious, causing lumbar pain and radiating to the lower limbs with pain and numbness, surgical treatment can be considered to correct the lumbar spondylolisthesis and relieve the nerve compression. Functional exercises for the lumbar back muscles should be carried out under the guidance of the doctor after surgery to promote recovery. Elderly patients with lumbar spondylolysis should take more rest in daily life, reduce strenuous exercise, and increase the strength of lumbar muscles appropriately to protect the stability of lumbar spine. If you find that the clinical symptoms worsen, you should consult a doctor in time for standardized treatment. The above medication should be used under the guidance of a doctor, avoid self-medication.