How bad does spondylolitsthesis have to be to require surgery?

Your decision: Spondlylolisthesis is a condition where the bones in the back are not in proper alignment producing stress on the muscles and ligaments leading to pain. The greater the pain, the more disabling the condition. You should consult your primary care physician who would discuss mri's, physical therapy, pain medication and an orthopedic referal as part of a plan.