Conservative treatment for lumbar spondylolisthesis, mild conservative treatment is good

Lumbar spondylolisthesis is mostly caused by congenital maldevelopment. Mild lumbar spondylolisthesis can be treated conservatively, requiring more bed rest, wearing a brace, and not putting burden on the waist. If it seriously affects your daily life, surgery should be considered in a timely manner.

1. Conservative treatment

Lumbar spondylolisthesis below grade I can be treated conservatively, including bed rest, back muscle exercises, and wearing a waist belt or brace. Appropriate aerobic exercise can be performed to lose weight. Activities that increase the weight on the waist, such as lifting heavy objects, bending over, etc., are prohibited. In addition, physical therapy such as infrared and heat therapy can be combined. If there are symptoms such as pain, oral anti-inflammatory analgesics such as Celebrex and Fenbid can be used for symptomatic treatment.

2. Surgical treatment

1. Lumbar spondylolisthesis below grade II, with persistent back pain or aggravation of existing lower back pain symptoms, which is ineffective through regular conservative treatment and seriously affects the patient's life and work;

2. Accompanied by lumbar disc herniation or lumbar spinal stenosis, radicular pain in the lower limbs and intermittent claudication, or symptoms of cauda equina compression;

3. The course of the disease is long and tends to gradually worsen;

4. Severe lumbar spondylolisthesis of grade III or above.

3. Postoperative Guidance

Patients who have undergone fusion and internal fixation surgery can wear a brace and get up and move around three days after the operation, but should avoid strenuous physical labor too early. Generally, they can drive six weeks after the operation, and can ride a bike, wash clothes and do other light physical activities after three months, but avoid heavy physical activities such as carrying loads. Patients need to continue to adhere to the functional exercises of the lumbar and back muscles, and increase the intensity of the exercises based on their physical strength and persevere. Outpatient follow-up was performed to check the bone graft fusion reduction and internal fixation. It is extremely important to quit smoking, but you can drink some red wine.