Abstract: Degenerative lumbar spondylolisthesis (DLS) is a common clinical disease in spinal surgery. It is one of important causes of low back and leg pain in adults, which seriously affects the quality of life of patients, and often presents a series of clinical symptoms such as low back pain, radiate pain of nerve roots and intermittent claudication. Presently, there are many controversial points in the clinical treatment of DLS，which has not yet formed a uniform standard or recognition. In this paper, we reviewed the relevant literatures in recent years and summarized the related problems during the treatment of DLS such as the choice of conservative or surgical treatment, decompression with/without fusion, the selection of the fusion mode, fusion with/without internal fixation, intraoperative reduction and minimally invasive or open surgery, so as to provide a reference for individualized treatment of DLS in clinical practice.

Key words: intervertebral disc degeneration, spondylolysis, decompression, surgical, spinal fusion, internal fixators