The body is able in most cases to maintain stability to the spinal column and prevent the vertebra from actively shifting back and forth on each other through the accumulation of bone spurs. If this is the case, then degenerative spondylolisthesis symptoms are best treated with:
- Epidural steroid injection
- Decompression surgery
For short lived symptoms, anti-inflammatory medications or an epidural injection are usually sufficient to relieve the symptoms. For lasting symptoms and those that do not respond to appropriate non-surgical treatment, a minimally invasive procedure to relieve the nerve pressure is often the best treatment option. Decompression surgery alone may not be possible if the slippage is in excess of 3 mm. In those specific cases, a decompression and fusion surgery would be necessary to maintain the stability of the spine after decompressing the nerves.