Guidelines for Treatment of Degenerative Lumbar Spondylolisthesis

Briceño-González, Carmen Yossaleth; García-Suárez, Adrián; Elizalde-Martínez, Eulalio; Peña, Mario Antonio Domínguez-De La; Torres-González, R; Pérez-Atanasio, José Manuel

doi:10.1590/s1808-185120161503164082

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…The best way to treat thoracolumbar fractures is still a point of contention. [5][6] The transpedicular short-segment successfully restores the anterior column without needing plate fixation of the anterior strut. It, therefore, avoids motion segment arthrodesis.…”

Section: Introductionmentioning

confidence: 99%

Results of Lumbar Transpedicular Fixation for Spondycolisthesis, in Terms of Back Pain Relief

et al. 2022

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Objective: The goal of this study was to see how transpedicular fixation for degenerative spondylolisthesis affected lumbago. Methodology: A retrospective observational study was conducted at the Department of Neurosurgery in Hayatabad Medical Complex, Peshawar between May 2018 and February 2020. Degenerative spondylolisthesis was diagnosed using static and dynamic spinal X-rays. The research excluded the patients with grade 5 spondylolisthesis, congenital anomalies, or prior spinal surgery. The visual rating scale was used to assess pain alleviation (GRS). Dynamic or static lumbosacral X-rays and 3D CT scans were used to assess union. Results: In total 70 patients, 38 (54.3%) were male and 32 (45.7%) were female. L5–S1 was impacted in most of the cases (68%). 40% of patients were having Meyerding grade II. All patients had pedicle screw fixation. Following surgery, 44 (63%) patients reported no pain, and 12 (17%) patients reported mild discomfort. 8 (11%) patients reported moderate pain and 6(9%) patients experienced severe pain. There existed a significant difference between pre/postoperative moderate-severe GRS scores (p-value: 0.000336). After surgery, we were able to negotiate surgical unions with 91.4% of the patients. Conclusion: For individuals with spondylolisthesis who need pain relief, transpedicular fixation is a safe, straightforward, and effective treatment. It also aids with the surgical union and the improvement of the neurological condition. Keywords: Spondylolisthesis, Meyerding grading, Transpedicular fixation.

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Section: Introductionmentioning

confidence: 99%

Results of Lumbar Transpedicular Fixation for Spondycolisthesis, in Terms of Back Pain Relief

et al. 2022

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“…This is emphasized in the North American Spine Society (NASS) clinical guideline for degenerative spondylolisthesis and canal stenosis, where a stronger recommendation has been made for both decompression and arthrodesis rather than decompression alone. 3 In the present study, fusion was performed by transpedicular screws fixation based on data suggesting it can improve fusion rates. Twenty patients with degenerative lumbar stenosis and spondylolisthesis underwent lumbar decompression, transpedicular fixation, and TLIF (Group A).…”

Section: Discussionmentioning

confidence: 99%

Outcome of Transforaminal Lumbar Interbody Fusion versus Posterolateral Lumbar Fusion with Instrumentation in Treatment of Degenerative Lumbar Disorders

Sabry

Hemida

Saoud

et al. 2020

Egyptian Spine Journal

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Background Data: Degenerative lumbar spine disorders are common pathologies that usually affect females in their sixth decade or older. Patients usually present with various symptoms, including back pain, radiculopathy, or neurogenic claudication, among other less common presentations. Different fusion procedures are available to manage these problems. Purpose: This study was designed to evaluate the clinical and radiological outcome of transforaminal lumbar interbody fusion (TLIF) and posterolateral fusion (PLF) in managing degenerative lumbar disorders. Study Design: A prospective study. Patients and Methods: This study was conducted on patients with degenerative lumbar spondylolisthesis and degenerative lumbar spinal stenosis who underwent lumbar spine fixation with either TLIF or PLF. Patients were randomized into two groups according to the operative procedure: Group A (20 patients) underwent TLIF and Group B (20 patients) underwent PLF. Patients were followed up and assessed for back and leg pain, functional disability, and spinal fusion. Results: We found that both TLIF and PLF improve disability and pain in patients with degenerative lumbar disorders. TLIF was found to be superior to PLF as regards achieving radiographic outcomes. We did not find strong evidence to support the use of interbody fusion along with transpedicular fixation compared to traditional posterolateral fusion in the treatment of degenerative lumbar disorders, taking into consideration the higher material costs added with interbody fusion. Conclusion:The reported data in the present study suggest that both TLIF and PLF provide improvement of disability and pain in patients with degenerative lumbar disorders. They also suggest that TLIF is superior to PLF when comparing the achievement of radiographic fusion. However, there is no significant clinical outcome difference to recommend using TLIF over traditional PLF in treating degenerative lumbar disorders, especially with the higher treatment costs related to the use of interbody fusion. (2020ESJ217)

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Scientific Contributions of the Mexican Association of Spine Surgeons (Asociación Mexicana de Cirujanos de Columna–AMCICO) to the Global Medical Literature: A 21-Year Systematic Review

2020

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Guidelines for Treatment of Degenerative Lumbar Spondylolisthesis

Cited by 3 publications

References 11 publications

Results of Lumbar Transpedicular Fixation for Spondycolisthesis, in Terms of Back Pain Relief

Results of Lumbar Transpedicular Fixation for Spondycolisthesis, in Terms of Back Pain Relief

Outcome of Transforaminal Lumbar Interbody Fusion versus Posterolateral Lumbar Fusion with Instrumentation in Treatment of Degenerative Lumbar Disorders

Scientific Contributions of the Mexican Association of Spine Surgeons (Asociación Mexicana de Cirujanos de Columna–AMCICO) to the Global Medical Literature: A 21-Year Systematic Review

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