Recommendations

Document Overview

Design and created by Guideline Central in participation with the Consensus and Physician Experts.

Diagnosis And Treatment Of Adult Isthmic Spondylolisthesis

Consensus and Physician Experts

Publication Date: Dec 1, 2016

Page Last Updated: May 5, 2026

North American Spine Society Recommendation Grades

Grade	Definition
Level of Evidence
Level I	High quality randomized controlled trials High quality prospective studies
Level II	Lesser quality randomized controlled trials Prospective or retrospective studies
Level III	Descriptive case series, opinions of expert panels
Level IV	Case series
Level V	Expert opinion
Grades of Recommendation
A: Recommended	Good evidence (Level I studies with consistent findings) for or against recommending intervention
B: Suggested	Fair evidence (Level II or III studies with consistent findings) for or against recommending intervention
C: Optional	Poor quality evidence (Level IV or V studies) for or against recommending intervention
I: Insufficient	Insufficient or conflicting evidence not allowing a recommendation for or against intervention

Full Text Guideline: www.thespinejournalonline.com/article/S1529-9430(16)30924-X/pdf

Scope: Assessment and Screening, Diagnosis, Management, Rehabilitation, Treatment

Diseases/Conditions (MeSH)

D013168 - Spondylolisthesis

Keywords: Adult spondylolisthesis, Isthmic spondylolisthesis, Spondylolisthesis, Spondylolytic spondylolisthesis

Health Care Settings: Ambulatory, Emergency Care, Hospital, Operating and Recovery Room, Outpatient