Hello, what you mentioned is trauma and strain that can also cause lumbar spondylolisthesis. No matter what kind of treatment, one must have an understanding that no tissue or organ in the human body grows redundantly, so manual or minimally invasive treatment is better, and other open surgical treatments are less advisable from a long-term perspective. Treatment methods:

1. Non-surgical treatment

Non-surgical treatment is effective in most cases for spondylolisthesis within Ⅰ°, including non-steroidal anti-inflammatory analgesics, short-term bed rest, Avoid lifting heavy objects, strenuous activities, wearing braces, and doing low back and abdominal muscle exercises. After 6-8 weeks of treatment, symptoms can be improved, which is especially suitable for adolescents with immature development. Not every patient with lumbar spondylolysis or spondylolisthesis needs treatment. A considerable number of patients with isthmic spondylolysis and first-degree lumbar spondylolisthesis are asymptomatic and do not require treatment.

2. Conservative treatment

The surrounding soft tissue is released through acupuncture to restore mechanical balance and achieve the purpose of treatment. However, the recovery time is relatively long, generally taking 2.3 months. It is quite recommended.

3. Open surgical treatment

For persistent low back pain symptoms or recurring non-surgical treatment that is ineffective, surgical treatment is feasible for young and middle-aged patients, and those with intervertebral disc herniation, and at the same time Remove the herniated disc nucleus pulposus.

(1) Local bone grafting for surgical treatment of isthmic nonunion for isthmic collapse: For patients with lumbar isthmic nonunion, local bone grafting at the isthmic nonunion is performed, that is, after resection of the fibrous callus at the isthmic nonunion, Bone grafting is performed to cross the transverse process of the diseased vertebra from the isthmic cleft to the lamina without fusion of the joints. It can also be fixed with screws and internal fixation.

(2) Surgical treatment of lumbar spondylolisthesis includes: ① To relieve the compression of the cauda equina or nerve roots, explore the isthmus fibrous callus hyperplasia for compression or remove the vertebral arch for complete decompression; ② Reduction of spondylolisthesis, Resection of the underlying intervertebral disc makes reduction easier; ③ Fusion, intervertebral body bone graft fusion or inter-transverse process (posterior side) bone graft fusion.