Lumbar 5 vertebral body 1 degree slipped and vertebral arch isthmus cleft this situation, the symptoms are mild, can take conservative treatment; serious general take surgical treatment. The details are as follows: Lumbar spondylolisthesis is clinically characterized by isthmic arch disintegration. When the arch isthmus collapses, a “dog neck” fissure can be seen on imaging. 1. If the symptoms are mild, conservative treatment can be taken. Bed rest, application of non-steroidal anti-inflammatory drugs, traction, support protection and other methods to relieve symptoms. 2. Degenerative lumbar thrust slip or isthmic cleft lumbar spondylolisthesis with significant low back and leg pain should be treated with surgical lumbar decompression, lumbar spondylolisthesis repositioning, internal fixation and implant fusion. The aim is to provide effective release of the superior nerve roots in the slip space. Specific treatment, it is recommended that we must listen to the doctor’s advice, choose the most suitable program, not blind treatment, so as not to aggravate the condition.