What is a common treatment recommendation for spondylolisthesis?

A common treatment recommendation for spondylolisthesis includes the use of a lumbar sacral orthosis (LSO) with sagittal control. This approach is effective because it helps stabilize the lumbar spine, control motion, and reduce pain. Spondylolisthesis involves the forward displacement of one vertebra over another, often leading to instability, pain, and possible nerve compression. By using an LSO that provides support and control in the sagittal plane (flexion and extension movements), patients can achieve better functionality and potentially reduce the progression of symptoms.

Physical therapy may also be part of the management plan, but it is typically used in conjunction with orthotic support rather than as the sole treatment option. Complete bed rest is generally not recommended, as it can lead to deconditioning and does not address the underlying instability. Surgical intervention is considered only in severe cases where conservative treatments fail or significant neurological deficits occur. Therefore, the use of an LSO with sagittal control serves as a practical, conservative management strategy for many patients with spondylolisthesis.