Surgical versus non-surgical treatment for the staging of spondylolisthesis: systematic review and meta-analysis

Objective: To evaluate the limits of conservative treatment compared to surgical treatment. Methodology: Information was searched using the Pubmed database using the keywords: "developmental", "spondylolisthesis", "classification", "surgical", "treatment", "graft", "fusion", "Gaines". The search was restricted to articles in English, French and Portuguese. After selection, 05 articles were consulted for analysis and construction of the study. Results : Surgical treatment proved to be more effective in assessing pain in studies in which the patients were children and adolescents. Conservative treatment, in the majority of studies, was not effective in terms of improving mental health and consequently improving the quality of life experienced by the patient. Conclusion: Conservative treatment is indicated as the first choice in most cases, leaving the invasive option for residual symptoms or advanced degrees of anatomical involvement, and it is worth noting that the surgical procedure is shown in the evaluation of pain, mental health and quality of life in the studies in which the patients were children and adolescents.