Due to individual differences, there is no best treatment for lumbar spondylolisthesis in the elderly, if the elderly have lumbar spondylolisthesis within one degree and no symptoms, no treatment is needed, if the patient has symptoms, symptomatic treatment can be taken, if the patient has lumbar spondylolisthesis of one or two degrees or more, and has symptoms, need to take surgical treatment. If an elderly person has lumbar spondylolisthesis within one degree, and the patient does not have the corresponding clinical symptoms, generally do not need to take measures to treat. If the patient experiences mild back and leg pain, non-steroidal anti-inflammatory drugs such as ibuprofen and acetaminophen will be prescribed. If the elderly have one or two degrees of lumbar spondylolisthesis or more than two degrees of lumbar spondylolisthesis, and the patient has lumbago, sciatica and other manifestations, it is necessary to take lumbar spondylolisthesis reset, lumbar decompression, lumbar spinal internal fixation and implantation of fusion surgery treatment. It is recommended that the patient should consult a doctor in time, who will choose the corresponding treatment plan according to the patient’s condition, and should not use medication blindly. Patients should rest more often and wear a waist cuff if necessary to relieve the symptoms.