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Treatment Options for Spondylolisthesis
Treatment of Grades III/IV Spondylolisthesis
Since the slip of the vertebra is more significant in patients with Grades III/IV spondylolisthesis, more intensive intervention may be necessary for those whose symptoms persist and do not respond to conservative, nonsurgical treatment. Treatments may include:
- Rest
- Custom orthosis or casting
- Surgical intervention in recalcitrant cases or with documented progression of slippage. It is estimated that up to 75% of people with Grade III spondylolisthesis will require surgery and up to 100% of people with Grade IV will undergo surgery for symptoms.
