Adult Spondylolisthesis Treated with Posterolateral Lumbar Fusion and Pedicular Instrumentation with AO DC Plates

Js, Thalgott; Rc, Sasso; Hb, Cotler; Aebi, Max; Sh, LaRocca

doi:10.1097/00002517-199706000-00004

Cited by 23 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All these studies show that the patients need not have a radiologically sound fusion for good clinical outcome eventhough theoretically they do. Thalgott et al 20 in their 42 cases of adult spondylolisthesis treated with intrumented PLF without reduction, the fusion rate correlated with clinical outcome. In our study, all patients had improvement in radiological parameters and 70% patients had good clinical outcome.…”

Section: Discussionmentioning

confidence: 94%

Outcome of transforaminal lumbar interbody fusion in spondylolisthesis—A clinico-radiological correlation

Balasubramanian

Douraiswami

Suresh

2018

Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 94%

Outcome of transforaminal lumbar interbody fusion in spondylolisthesis—A clinico-radiological correlation

Balasubramanian

Douraiswami

Suresh

2018

Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

“…All patients met these criteria for fusion in our study. Various fusion rates for anterior lumbar interbody fusion have been reported, ranging from 56 to 95% [5,29,35,37,41]; for posterior lumbar fusion, rates of between 77 and 95% [3,34,39] have been described. Despite the difficulty of assessing fusion using cage technology, the indirect evidence suggests a 100% fusion rate in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Decompression alone [11], decompression and fusion [13,18, 30,34], and fusion alone [3,7,18, 26,39] have been recommended. Good clinical results have been achieved with posterior fusion alone without instrumentation [18, 22,36], with instrumentation [4,13, 21, 30,34,39,44] as well as with anterior fusion alone [5,6,20, 21,40,41] or with circumferential fusion [40,41]. Circumferential fusion reduces the pseudoarthrosis rate [22,40], and Kim [22] has shown a strong correlation between successful fusion and successful functional outcome.…”

mentioning

confidence: 99%

Posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis: short-term radiological and functional outcome

Spruit

Pavlov

Leitao

et al. 2002

European Spine Journal

View full text Add to dashboard Cite

IntroductionSeveral options for surgical treatment of adult isthmic spondylolisthesis are available. Decompression alone [11], decompression and fusion [13,18, 30,34], and fusion alone [3,7,18, 26,39] have been recommended. Good clinical results have been achieved with posterior fusion alone without instrumentation [18, 22,36], with instrumentation [4,13, 21, 30,34,39,44] as well as with anterior fusion alone [5,6,20, 21,40,41] or with circumferential fusion [40,41]. Circumferential fusion reduces the pseudoarthrosis rate [22,40], and Kim [22] has shown a strong correlation between successful fusion and successful functional outcome. The literature on this subject is, however, confusing, because of differences in patient groups, etiology and the severity of the spondylolisthesis that was treated. The discussion on how to surgically treat adult isthmic spondylolisthesis has not reached any conclusion. In our clinic we treated patients for low-grade, adult isthmic spondylolisthesis with posterior reduction using pedicle screws followed by second-stage anterior lumAbstract The aim of this study was to evaluate the short-term radiological and functional outcome of surgical treatment for symptomatic, lowgrade, adult isthmic spondylolisthesis. Twelve patients underwent a monosegmental fusion for symptomatic spondylolisthesis. Posterior reduction with pedicle screw instrumentation was followed by secondstage anterior interbody fusion with a cage. All patients underwent a decompressive laminectomy. At an average of 2.1 (range 1.4-3.0) years following surgery, all patients completed the Oswestry questionnaire, VAS back pain score and a questionnaire detailing their work status. Radiographs were evaluated for maintenance of reduction and fusion. The patients (nine male, three female; mean age 42, range 22-54 years) had experienced preoperative symptoms for an average of 38 (range 6-96) months. An average preoperative slip of 21% (range 11-36%) was reduced to 7% (range 0-17%). Reduction of slip was maintained at latest followup, at which time the average VAS score was 2.8 (range 0-8) and the average Oswestry score was 13 (range 0-32). All patients achieved a successful fusion. There were no postoperative nerve root deficits. All patients stated that they would be prepared to undergo the same procedure again if required. Seventy-five percent returned to their pre-symptom work status. Our findings suggest that posterior reduction and anterior fusion for low-grade adult isthmic spondylolisthesis may yield good functional short-term results. A high fusion rate and maintenance of reduction with a low complication rate may be expected. Further followup is necessary to evaluate long-term outcome.

show abstract

“…Many studies in the literature analyze clinical and radiological outcome of different fusion techniques by various approaches, including posterolateral fusion (PLF) and lumbar interbody fusion, but considerable controversies regarding what is the “gold standard” approach still exist 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16…”

Section: Study Rationale and Contextmentioning

confidence: 99%

Fueling the debate: Are outcomes better after posterior lumbar interbody fusion (PLIF) or after posterolateral fusion (PLF) in adult patients with low-grade adult isthmic spondylolisthesis?

Bròdano

Lolli²,

Martikos³

et al. 2010

Evidence-Based Spine-Care Journal

View full text Add to dashboard Cite

Study design: Retrospective cohort study.Clinical question: Do more adult patients affected by low grade isthmic spondylolisthesis have significant clinical and radiological improvement following posterior lumbar interbody fusion (PLIF) than those who receive posterolateral fusion (PLF)?Methods: One hundred and fourteen patients affected by adult low grade isthmic spondylolisthesis, treated with posterior lumbar interbody fusion or posterolateral fusion, were reviewed. Clinical outcome was assessed by means of the questionnaires ODI, RMDQ and VAS. Radiographic evaluation included CT, MRI, and x-rays. The results were analyzed using the Student t-test.Results: The two groups were similar with respect to demographic and surgical characteristics. At an average follow-up of 62.1 months, 71 patients were completely reviewed. Mean ODI, RMDQ and VAS scores didn't show statistically significant differences. Fusion rate was similar between the two groups (97% in PLIF group, 95% in PLF group). Major complications occurred in 5 of 71 patients reviewed (7%): one in the PLIF group (3.6%), four in the PLF group (9.3%). Pseudarthrosis occurred in one case in the PLIF group (3,6%) and in two cases in PLF group (4.6%).Conclusions: In our series, there does not appear to be a clear advantage of posterior lumbar interbody fusion (PLIF) over posterolateral fusion (PLF) in terms of clinical and radiological outcome for treatment of adult low grade isthmic spondylolisthesis.

show abstract

Adult Spondylolisthesis Treated with Posterolateral Lumbar Fusion and Pedicular Instrumentation with AO DC Plates

Cited by 23 publications

References 0 publications

Outcome of transforaminal lumbar interbody fusion in spondylolisthesis—A clinico-radiological correlation

Outcome of transforaminal lumbar interbody fusion in spondylolisthesis—A clinico-radiological correlation

Posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis: short-term radiological and functional outcome

Fueling the debate: Are outcomes better after posterior lumbar interbody fusion (PLIF) or after posterolateral fusion (PLF) in adult patients with low-grade adult isthmic spondylolisthesis?

Contact Info

Product

Resources

About