Research Progress Of The Classification Diagnosis And Treatment Of Degenerative Lumbar Spondylolisthesis

Degenerative lumbar spondylolisthesis is a common degenerative disease in the elderly.Treatment options for diseases are diverse,although traditional open decompression fusion and fixation techniques are very mature for the treatment of degenerative lumbar spondylolisthesis.But fusion is easy to bring about the loss of intervertebral motion and the accelerated reoperation of adjacent degenerative vertebrae.The purpose of fusion internal fixation is to solve the instability of the lumbar spine,but not all degenerative lumbar spondylolisthesis is lumbar instability,different patients have different natural periods of disease.So an argument arises: do all patients with degenerative lumbar spondylolisthesis need internal fixation and fusion? For some degenerative lumbar spondylolisthesis patients,simple decompression and dynamic stabilization system of non-fusion technology can also have same satisfactory results,especially in recent years with the emergence and development of minimally invasive techniques.Its advantages such as less loss of stable structure,less blood loss and faster healing of lumbar vertebrae are more and more favored by scholars.With the emergence of precise and individualized treatment concept of spinal surgery,it is imperative to classify the patients with degenerative lumbar spondylolisthesis.Classification diagnosis and treatment can reduce postoperative complications and the rate of secondary surgery to ensure that patients get the best results of surgery.