The surgical treatment of lumbar spondylolisthesis generally adopts the method of fixing with pedicle screws and titanium rods, so the fixation is generally very firm. Generally, after the incision drainage tube is removed three days after surgery, it is possible to get out of bed for daily activities under the protection of a lumbar brace, and no brace is needed when lying in bed. However, at this time, it is not allowed to carry out strong activities. After three months, if the intervertebral disc radiographic film shows good recovery after re-examination, it can be removed to carry out activities without a brace, and after about half a year of solid recovery, it can carry out strong activities and heavy physical labor.

Under normal circumstances, within one to two weeks after lumbar spondylolisthesis surgery, under the condition of external fixation with a thoracolumbar brace, it is possible to get out of bed and move around moderately. When getting out of bed to move around, one must pay attention to slow walking and moderate exercise, and avoid using excessive extreme exercise methods to prevent the failure of the fixation of the spondylolisthesis position and the occurrence of re-fracture. During the process of moderate walking, it is necessary to use a walker or have a family member accompany. Pay attention to several aspects during the process of walking:

1. As much as possible get up before walking to avoid dizziness caused by immediate getting out of bed. 2. After the operation, there may be muscle atrophy or lack of energy in the lower limbs, which is easy to cause the patient to stumble and fall when getting out of bed. It is necessary to sit up moderately on the bed first, and after getting up without any peculiar sensation, you can get out of bed to move around moderately.

The details of getting out of bed after lumbar surgery are related to the surgical treatment method, such as:

1. Minimally invasive surgery: such as arthroscopic nucleus pulposus resection, after surgery, patients can get out of bed to move around under the support of the hip circumference within 3-5 days.

2. Traditional open surgery treatment: such as anterior or posterior approach to intervertebral disc surgery, interbody fusion, etc., with a relatively longer period of bed rest after surgery, ranging from 15 to 30 days before getting out of bed to move around. During the period of bed rest, lower limb rehabilitation training should be carried out, such as ankle extension and flexion, to avoid the occurrence of complications such as deep vein thrombosis in the lower limbs. In addition, the care and treatment should be improved to prevent aspiration pneumonia.