Degenerative spondylolisthesis is a well-known cause of spinal stenosis, presenting challenges in treatment selection. While simple decompression or fusion are traditional surgical options, both carry risks of complications. At Wooridul Spine Hospital, an alternative surgical approach called ligament reconstruction has been developed. This procedure is particularly considered for patients with low-grade degenerative spondylolisthesis, where there is instability but not severe enough to necessitate fusion. However, it’s important to note that ligament reconstruction is not suitable for all cases of degenerative spondylolisthesis. The decision to proceed with this or other treatment options depends on various factors, including the degree of vertebral slippage, the patient’s symptoms, and overall spinal stability. This personalized approach ensures that each patient receives the most appropriate treatment for their specific condition. Consequently, ligament reconstruction can be a suitable minimally invasive surgical option for patients with stenosis and instability that is not severe enough to require fusion surgery.