Recently, several patients with lumbar spondylolisthesis have been seen in the outpatient clinic, and their common question is: Does lumbar spondylolisthesis necessarily require surgery? Therefore, it is necessary to introduce to patients with lumbar spondylolisthesis the knowledge about the treatment of lumbar spondylolisthesis for your reference when choosing a hospital (or doctor) and whether to undergo surgery. 1. How did the lumbar spondylolisthesis come about? In other words, what is the cause of the disease? There are two types of lumbar spondylolisthesis: one is true spondylolisthesis: most of them are congenital, that is to say, the disease has been present since childhood, but there have been no symptoms until the emergence of lumbar pain and leg pain to the hospital, which is discovered through CT examination. The second is pseudoslip: most of them are caused by degeneration of the small joints of the lumbar spine, resulting in instability of the lumbar spine and slipping after severe. Therefore, it occurs in the middle-aged and elderly people, but rarely in young people. 2.How is lumbar spondylolisthesis treated? Does it need surgery or not? Answer: Lumbar spondylolisthesis is an organic pathological change, and only surgery can change it. However, lumbar spondylolisthesis does not require immediate surgery, and the timing of the surgery is important: a true spondylolisthesis is only discovered accidentally during physical examination, is not old, and has no clinical symptoms and signs, so it does not require immediate surgery. However, if the symptoms of back and legs appear and affect the quality of life, surgery can be performed as soon as the development stops, especially women should be operated as early as possible, because osteoporosis is getting worse in postmenopausal women, which increases the chance of loosening of the internal fixation device and affects the efficacy. Furthermore, being too old and bedridden for a long time after surgery will increase the occurrence of complications. Similarly, if the symptoms, signs and images of pseudoslip are consistent and affect the life, the earlier the surgery, the better. If you wait until you are seventy years old or older, abnormal heart, brain, liver, kidney, blood pressure and blood sugar will invariably increase the risk of complications to the surgery. Giving up surgery is the same as prolonging your life with the disease, because conservative treatment is no longer particularly effective. In fact, there are risks in any surgery, only the size of the problem. If scientific evidence is passed and indications and contraindications are strictly mastered, the risk is not as high as the old ladies think. If a patient with lumbar spondylolisthesis blindly gives up surgery, it is the same as giving up the chance to heal, which is regrettable.