What are the contemporary surgical treatment options for L5S1 isthmic spondylolisthesis in adult patients

• Decompression and in situ posterolateral fusion with or without posterior pedicle fixation

• Decompression, posterolateral fusion, and posterior pedicle fixation combined with interbody fusion and reduction (reduction may be partial vs. complete, interbody fusion may be performed through either an anterior or posterior approach)

• Decompression, posterolateral fusion, and posterior pedicle fixation combined with partial reduction and placement of a trans-sacral interbody graft (fibula strut or cage) and/or trans-sacral screws

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