Lumbar fissure and lumbar spondylolisthesis are two common low back and leg pain conditions. They are often seen in outpatient clinics. However, most people have only heard of lumbar disc herniation and are not clear about what these two diseases are all about. The following is a general introduction to this disease. What are lumbar isthmus and lumbar spondylolisthesis? The normal spine is formed by the lumbar vertebrae and adjacent intervertebral discs connected by ligaments. The front of the lumbar spine is the vertebral body, the back is the vertebral arch, and the center is the spinal canal. In layman’s terms, a disc herniation is a problem with the cartilage cushion (disc) that connects the vertebrae to each other. A lumbar isthmic fracture is a problem with the structure that connects the lumbar vertebrae to the posterior vertebral arch (fractured). Lumbar spondylolisthesis is a significant misalignment of two adjacent lumbar vertebrae, with the upper vertebrae sliding forward over the lower vertebrae. Therefore, both lumbar isthmic fracture and lumbar spondylolisthesis are problems with the bony structures of the lumbar spine. Lumbar isthmic fractures that are not properly treated are the main cause of lumbar spondylolisthesis. Symptoms of lumbar spondylolisthesis: The main manifestation is lumbar pain, which is obvious when bending over, and sometimes there is a feeling of not being able to straighten the back after bending over. If there is a combination of lumbar disc herniation, there will be symptoms of leg pain. After the lumbar isthmic fissure exists for many years, lumbar spondylolisthesis will gradually occur. At this time, patients can have more obvious symptoms of nerve compression. This can manifest as low back pain, lower extremity pain, numbness, limb weakness, and muscle atrophy. This is when a photographic examination can reveal a significant lumbar spine slip. What should I do if I have lumbar spondylolisthesis? The principles of lumbar spondylolisthesis treatment include the following: ① Not all lumbar spondylolisthesis requires treatment. In fact, a significant proportion of patients with lumbar spondylolisthesis have no lifelong symptoms of low back pain and are untreated; the latest research findings confirm that the degree and type of chronic low back pain in patients with acquired lumbar spondylolisthesis are not substantially different from those in normal people. ②Lumbar spondylolisthesis with low back pain does not always require surgery. For patients with lumbar spondylolisthesis who have symptoms of low back pain, first of all, the location and nature of their pain should be clarified to determine whether their pain is related to the spondylolisthesis, because degeneration of the intervertebral disc adjacent to the spondylolisthesis, small joint lesions or soft tissue injuries can lead to low back pain; symptomatic treatment or experimental treatment, such as braking and physiotherapy, should be carried out to address the causes; if conservative treatment is ineffective or if the pain is determined to be related to the spondylolisthesis, then surgery should be considered. Treatment. ③Select the appropriate surgical procedure according to the severity of the slippage. It is important to make a comprehensive evaluation of the patient’s age, the type of slippage, the degree of slippage, and the state of the intervertebral disc and spinal canal before surgery, so as to select the appropriate surgical method with a view to achieving the expected results. ④ Fusion of the slipped vertebra is the ultimate goal of surgical treatment. For patients with lumbar spondylolisthesis, an ideal surgery should include decompression of the compressed neural tissue, repositioning and internal fixation of the slipped vertebral body, and fusion of the slipped vertebral body with the adjacent vertebral body. Is it necessary to remove the steel card after lumbar spondylolisthesis surgery? In general, the internal fixation after lumbar spondylolisthesis does not need to be removed. If there are manifestations such as lumbar discomfort on rainy days, easy tiredness on stairs, inability to lift heavy objects, etc., and the steel nail has constituted a heavy psychological burden for the person, the question of removal may also be considered. How to recover? Whether you take conservative treatment or surgical treatment, it is very important to follow the requirements of the doctor’s instructions. Precautions should be taken in daily life after surgery: 1. Avoid stretching, twisting, bending or shaking the back muscles to avoid spraining the back. 2.Use a long-handled broom or mop to do cleaning work and do not bend over. 3.When brushing your teeth and washing your face, bend your knees slightly and do not stoop. 4.Do not lift heavy objects for 3 to 6 months after surgery. 5.Desk work can be done 4-6 weeks after surgery, and only after 3-4 months can you do forceful work. 6.Increase activity gradually, avoid strenuous exercise. 7.If you need to wear a hard back brace, wear it first before you can get out of bed. 8.Sex life can be recovered after 6 weeks of surgery. 9.Avoid excessive back strain for one year. 10.Maintain proper weight.