A concise follow-up of a previous report: posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis

Spruit, Maarten; Jonbergen, J.P.W. Van; Kleuver, Marinus de

doi:10.1007/s00586-005-0901-y

Cited by 22 publications

(9 citation statements)

References 11 publications

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“…Single or multiple segment fixation refers to intervertebral body fusion involving one or at least one intervertebral space. Although 75% to 100% of patients show improvement after intervertebral body fusion, compensatory activities of adjacent vertebral segments are increased, which increases the risk of a second surgery due to diseases in the adjacent intervertebral space [10], [11].…”

Section: Introductionmentioning

confidence: 99%

A Universal Pedicle Screw and V-Rod System for Lumbar Isthmic Spondylolysis: A Retrospective Analysis of 21 Cases

et al. 2013

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ObjectiveTo investigate the surgical outcome of a universal pedicle screw-V rod system and isthmic bone grafting for isthmic spondylolysis.MethodsTwenty-four patients with isthmic spondylolysis at L5 and grade 0–I spondylolisthesis (Meyerding classification) received isthmic bone graft and stabilization using the universal pedicle screw-V rod system. Back pain was evaluated using the visual analog scale (VAS) and time to bone healing, improvement in spondylolisthesis and intervertebral space height at L5/S1 and L4/L5 were assessed.ResultsTwenty-one patients were followed up for 24 months and included in the analysis. Back pain was markedly improved at 3 months postoperatively with a statistical difference in VAS scores compared with preoperative VAS scores (P<0.001). The VAS scores were 0 to 3 at 6 months postoperatively in all patients and no back pain was reported in all patients except 2 patients who complained of back pain after prolonged sitting. X-ray examination showed a bone graft healing time of 3 to 12 months. Grade I spondylolisthesis improved to grade 0 in 4 patients and no noticeable change was observed in the remaining 17 cases. The intervertebral space height at L5/S1 was statistically increased (P<0.05) while no statistically significant change was seen at L4/L5. There was no statistically significant difference in the ROM of the intervertebral disks of L5/S1 and L4/5 before and after surgery.ConclusionsThe universal pedicle screw-V rod system and isthmic bone grafting directly repairs isthmic spondylolysis and reduces back pain, prevents anterior displacement of the diseased segment and maintains intervertebral space height, thus offering a promising alternative to current approaches for isthmic spondylolysis.

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Section: Introductionmentioning

confidence: 99%

A Universal Pedicle Screw and V-Rod System for Lumbar Isthmic Spondylolysis: A Retrospective Analysis of 21 Cases

et al. 2013

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“…10 This can be achieved with interbody fusion through an anterior or posterior approach, using fusion cages and autologous bone graft, with instrumentation like posterior pedicle screw and rod fixation. 10,13 In dogs with cauda equina compression, L7-S1 fixationfusion has been described using pin fixation of both L7-S1 articular facets and an overlying bone graft dorsally. 14 The use of pedicle screw and rod fixation in the canine lumbosacral spine has been described by Me´heust et al 15 in the French veterinary literature but the device has not been biomechanically tested in vitro.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Flexion–Extension Forces in Normal Canine Lumbosacral Cadaver Specimens Before and After Dorsal Laminectomy–Discectomy and Pedicle Screw–Rod Fixation

et al. 2007

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“…However, these facts have been challenged by many authors. 24,26,27 Adjacent segment disease still a problem that may occur in a high rate on the long term follow up after lumbar spine fixation and estimated at in 36.1% of cases. This may be related to the preoperative abnormal sagittal configuration of the spine rather than to the surgical technique utilized or extension of the spinal fixation or even the existence of degenerative disease.…”

Section: Discussionmentioning

confidence: 99%

Reduction of Lumbar Spondylolisthesis, Surgical Technique and Clinical Outcome.

Eshra

2013

Egyptian Spine Journal

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Background Data: Reduction of the slipped vertebrae as a part of surgical approach is now attempted. In the current literature, the studies have paid attention to the surgical reduction of the slippage or in situ spinal fixation technique. These studies have a lack of comparison between these variable techniques. Purpose: To define the role and benefits of reduction and stabilization of lumbar spondylolisthesis. Study Design: A retrospective clinical case study. Patients and Methods: 24 patients with low grade isthmic lumbar spondylolisthesis between January 2008 and June 2010 were enrolled for this study. Patients were treated by slip reduction, interbody fusion with or without cage and internal pedicle screw fixation. All patients had back pain and radicular pain for at least one year pre-operatively. All patients were examined by plain radiographs, CT scan and MRI. Oswestry Disability Index (ODI) was used for pre and post-operative clinical assessment in all cases. Radiological assessment for bony fusion was done using plain radiography and CT scan. All patients were followed up both clinically and radiologically for at least one and half years. Results: The overall rate of neurological improvement after our procedures was 91%. Radicular pain improved earlier than back pain. Slip was reduced and satisfactory screw purchase was proved in all patients. Reported fusion rate was 92%. Operative and postoperative complications occurred in five patients but were minor and cured. Conclusion: Reduction of lumbar spondylolisthesis improved the clinical manifestations, increased the fusion rate and speed the return to normal or near normal life activities. (2013ESJ044)

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A concise follow-up of a previous report: posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis

Cited by 22 publications

References 11 publications

A Universal Pedicle Screw and V-Rod System for Lumbar Isthmic Spondylolysis: A Retrospective Analysis of 21 Cases

A Universal Pedicle Screw and V-Rod System for Lumbar Isthmic Spondylolysis: A Retrospective Analysis of 21 Cases

Biomechanical Flexion–Extension Forces in Normal Canine Lumbosacral Cadaver Specimens Before and After Dorsal Laminectomy–Discectomy and Pedicle Screw–Rod Fixation

Reduction of Lumbar Spondylolisthesis, Surgical Technique and Clinical Outcome.

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