The need for surgery for lumbar spine slippage depends on the degree of slippage (classified as 1, 2, 3, 4, 5 degrees), intervertebral stability, spinal stenosis and the degree of disc herniation. Generally, lumbar spine slippage in the clinic is divided into two major types: one is pseudo-slip, also known as degenerative slippage, this type of lumbar spine posterior structure is intact, the cause of slippage is mainly small joint relaxation degeneration, intervertebral space collapse, ligamentous laxity; the second is true slippage, also known as isthmic fracture slippage, this type of lumbar spine posterior structure that prevents the vertebral body from slipping forward is incomplete, the cause of slippage occurs with lumbar spine degeneration and isthmic fracture has a great relationship. The prognosis is generally more likely to be aggravated in those with isthmic fractures. How should treatment be selected? 1, pseudoslip, the duration of the disease is not long, mainly lumbar pain, to comprehensive conservative treatment is preferred. 2.Pseudoslip or true slippage, leading to spinal stenosis or combined with disc herniation, causing nerve compression. Those with short duration and mild degree should choose conservative treatment; those with longer duration (>3 months), heavy degree and poor effect by conservative treatment should receive surgery. 3, if the isthmus is slipped, after receiving conservative treatment, especially should pay attention to regular follow-up, do not wait until the degree of slippage is very serious and then operate, then the operation will be more difficult, not easy to get good results. 4, combined with lower limb numbness and other nerve injury symptoms, the implementation of post-surgery combined with Chinese medicine treatment methods to promote nerve function recovery, improve the effectiveness of surgery.