Objective: To summarize the cable tension band fixation for the treatment of the clinical effect of lumbar spondylolysis, to explore the feasibility and effectiveness of the cable tension band fixation. Methods: in 2011 May to 2013 May received a total of 12 cases of L4 and L5 in patients with lumbar spondylolysis. 12 cases were male; age 18---22 year old, average age is 19.5 years old. Were not associated with lumbar spondylolisthesis. All the patients were Ai Wentai cable tension band fixation and isthmic bone grafting treatment, after 3, 6, 9, 12 months of follow-up. Results: there were no operation complications and sequelae, no secondary lumbar spondylolisthesis was found. Reached the standard of bone healing in 11 cases, bone healing rate was 91.7%, 9 cases achieved healthy players training intensity. At the last follow-up evaluation of curative effect, excellent in 9 cases, good in 2 cases, 1 cases, the excellent and good rate was 91.7%. Conclusion: the cable tension band fixation for the treatment of lumbar spondylolysis is effective, simple operation, little injury and good biological compatibility method. On the prevention of lumbar spondylolisthesis, promote the local fracture of lumbar spondylolysis Union, has a positive meaning to improve the symptoms of waist.