Abstract:[Objective] To compare the spinopelvic sagittal parameters among different lumbar spondylolisthesis states. [Methods] A retrospective research was done on lumbar spondylolisthesis 104 patients and 40 normal subjects from January 2020 to June 2024. According to the imaging findings, 32 patients had two consecutive segments of spondylolisthesis (the double group), 72 had single segment spondylolisthesis (the single group), and 40 had no spondylolisthesis (the normal group). The clinical and imaging parameters of the three groups were compared. [Results] The double group proved significantly higher low back pain VAS score [(5.2±0.8) vs (4.8±0.7), P=0.012]，leg pain VAS score [(5.5±1.0) vs (5.1±0.9), P=0.046]，ODI index [(48.5±6.6)% vs (44.2±5.4)%, P=0.001] than the single group. There was no significant difference in age, gender and BMI among the three groups (P＞0.05). The double group, single group and normal group had pelvic incidence (PI) [(65.2±6.5)° vs (53.7±5.3)° vs (44.9±4.8)°, P＜0.001], pelvic tilt (PT) [(26.6±3.8)° vs (18.6±3.0)° vs (10.6±2.2)°, P＜0.001], sagittal vertical axis (SVA) [(6.7±1.5) cm vs (3.4±0.7) cm vs (0.9±0.2) cm, P＜0.001], sacral slope (SS) [(38.6±4.7)° vs (35.1±3.6)° vs (34.3± 3.2)°, P＜0.001] ranked up-down significantly, whereas thoracic kyphosis (TK) [(29.7±6.8)° vs (31.5±7.2)° vs (34.0±8.0)°, P＜0.001] and lumbar lordosis (LL)[(44.8±4.6)° vs (48.3±5.5)° vs (49.7±6.5)°, P＜0.001] down-up significantly. The VAS score of low back pain was positively correlated with PI, PT, SVA and SS (P＜0.05), whereas negatively correlated with TK and LL (P＜0.05). [Conclusion] The two consecutive segments lumbar spondylolisthesis presents more serious clinical symptoms, with more significant spinopelvic sagittal parameters changes, including incresed PI, PT, SVA and SS, while decreased TK and LL.