Spondylolisthesis is a problem that can be corrected with surgery. The lumbar vertebra has a small fracture in the bone allowing the body of the vertebra to slip forward away from the back half of the bone.

This may not seem like much of a problem but when the bone moves forward, the soft tissues that are attached get pulled and stretched, too. Pressure is put on the spinal cord or spinal nerves. There is a potential for serious neurologic problems.

The goals of surgery are to stabilize the spine. The result is to reduce pain and neurologic symptoms. Improved quality of life usually follows. The surgeon may see it as a simple decision. It isn't always so easy for the patient.

Research show if you have had conservative (nonoperative) care for six months or more and still have symptoms, then surgery is advised. If the surgeon doesn't think surgery will help, then patients must continue with conservative care and manage the symptoms. Loss of bladder or bowel control is a clear sign that surgery is needed.