Main Article Content
Lumbar spondylolisthesis in adolescents is a common cause of back pain. Low-grade spondylolisthesis usually responds to non-surgical treatment. High-grade spondylolisthesis often requires surgery for relief of symptoms. The primary goals in surgical treatment of adolescent lumbar spondylolisthesis (L5-S1) are relief of back and radicular pain, relief of any motor weakness from nerve compression, and achieving a stable spinal fusion. Optimal surgical strategy is debated with questions regarding need for reduction of deformity, choice of spinal instrumentation, use of interbody fusion, and choice of bone graft. This overview will review commonly used surgical techniques with a focus on pearls and pitfalls of each. Recommended post-operative care and management of common complications will conclude this review.