Degenerative lumbar spondylolisthesis. Cohort of 670 patients, and proposal of a new classification

Gille, Olivier; Challier, Vincent; Parent, H.-F.; Cavagna, R.; Poignard, Alexandre; Faline, Alexis; Fuentès, S.; Ricart, Olivier; Ferrero, Emmanuelle; Slimane, Mourad Ould

doi:10.1016/j.otsr.2014.07.006

Cited by 62 publications

(40 citation statements)

References 23 publications

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“…SL is more common in women (11) . The most common level is L4-L5 (12) . Retrolisthesis is most commonly found in the L3-L4 level, which is a rare condition (11) .…”

Section: Discussionmentioning

confidence: 99%

The Alteration of Sagittal Lumbosacral Alignment After Posterior Stabilization-Fusion in Lumbar Spondylolisthesis: Clinical Study

Çevik¹,

Başaran²,

İş³

et al. 2020

jtss

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Objective: Spondylolisthesis (SL) is a condition that occurs in 2-8% of the general population. Sagittal spinopelvic alignment determines the mechanical stress in the lumbosacral junction. The aim of this study is to understand how much we can correct sagittal lumbosacral alignment to maintain sagittal balance in SL by surgical treatment and to demonstrate the effectiveness of posterior fixation in maintaining sagittal balance. Materials and Methods: We retrospectively reviewed the cases operated with SL between January 2011 and June 2016. Wiltse classification was used to determine the type of SL. The parameters of sagittal balance (slip rate, slip angle, lumbar lordosis angle, lumbosacral kyphosis and sacral slope) were evaluated preoperatively and postoperatively. Results: The study was carried out with 63 cases, 31.7% (n=20) male and 68.3% (n=43) female. The mean age was 57.16±12.55 years. The correction of slip rate and slip angle was found to be statistically significant (p<0.01). Conclusion: The objective of our study was to investigate how the surgery influenced sagittal spino-pelvic alignment of SL and to investigate the correlation between the effectiveness and the changes of spine-pelvic sagittal parameters for patients with SL before and after operation.

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“…SL is more common in women (11) . The most common level is L4-L5 (12) . Retrolisthesis is most commonly found in the L3-L4 level, which is a rare condition (11) .…”

Section: Discussionmentioning

confidence: 99%

The Alteration of Sagittal Lumbosacral Alignment After Posterior Stabilization-Fusion in Lumbar Spondylolisthesis: Clinical Study

Çevik¹,

Başaran²,

İş³

et al. 2020

jtss

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“…It was concluded that there was no difference in rates of fusion, operative time, EBL, and ODI, SF-36, and VAS outcome measures between procedures. Similarly, Baker et al completed a more recent systemic review including 13 studies, mostly graded as level III evidence [18,32,[39][40][41][42][43][44][45][46][47][48][49]. The authors concluded that there was not sufficient evidence to recommend for or against interbody fusion.…”

Section: Interbody Fusionmentioning

confidence: 99%

Treatment for Degenerative Lumbar Spondylolisthesis: Current Concepts and New Evidence

Samuel

Moore

Cunningham

2017

Curr Rev Musculoskelet Med

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There is some moderate evidence that decompression alone may be a feasible treatment with lower surgical morbidity and similar outcomes to fusion when performed in a select population with a low-grade slip. Similarly, addition of interbody fusion may be best suited to a subset of patients with high-grade degenerative spondylolisthesis, although this remains controversial. Minimally invasive techniques are increasingly being utilized for both decompression and fusion surgeries with more and more studies showing similar outcomes and lower postoperative morbidity for patients. This will likely be an area of continued intense research. Finally, the role of spondylolisthesis reduction will likely be determined as further investigation into optimal sagittal balance and spinopelvic parameters is conducted. Future identification of ideal thresholds for sagittal vertical axis and slip angle that will prevent progression and reoperation will play an important role in surgical treatment planning. Current evidence supports surgical treatment of degenerative spondylolisthesis. While posterolateral spinal fusion remains the treatment of choice, the use of interbodies and decompressions without fusion may be efficacious in certain populations. However, additional high-quality evidence is needed, especially in newer areas of practice such as minimally invasive techniques and sagittal balance correction.

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“…It is widely accepted that explicit description of sagittal spine alignment assists in determination of aetiology and the orientation of the surgical plan, both of which are achieved using two incisive tools (spinopelvic parameters and curvatures) in both degenerative spine disease and spine deformity [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Sagittal Profile and Radiographic Parameters in Symptomatic Thoracolumbar Disc Herniation Patients

Gao

Wang

et al. 2020

Preprint

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Background Few studies describe thoracolumbar disc herniation (TLDH) as an isolated category, it is frequently classified as the lower thoracic spine or upper lumbar spine. Thus, less is known about the morphology and aetiology of TLDH compared to lumbar disc herniation (LDH)The aim of study is to investigate sagittal alignment in TLDH, and analyze sagittal profile with radiographic parameters.Methods Data from 70 patients diagnosed with TLDH were retrospectively reviewed. The thoracic-lumbar alignment was depicted by description of curvatures (the apex of lumbar curvature, the apex of thoracic curvature, and inflexion point of the two curvatures) and radiographic parameters from complete standing long-cassette spine radiographs. The rank sum test was utilised to compare radiographic parameters values in each subtype. Results We found two subtypes differentiated by the apex of thoracic kyphotic curves. The apex of the thoracic kyphotic curve located in the middle thoracic spine in type I, and the apex of the thoracic kyphotic curve located in the thoracolumbar region in type II patients. Thirty-six patients were classified as type I, and 34 patients were classified as type II. The mean sagittal vertical axis, T1 pelvic angle and L1 pelvic angle were 27.9±24.8°, 8.2±7.3° and 6.2±4.9°, respectively. There was significant difference (p<0.001) of thoracolumbar angle between type I patients (14.9±7.9°) and type II patients (29.1±13.7°).Conclusions We presented two distinctive sagittal profiles in TLDH patients, and a regional kyphotic deformity with a balanced spine was validated in both subtypes. In view of the different curvatures, different aetiologies were discovered in each subtype. Mismatch between shape and SS value was observed, and better agreement was found in Type II patients.

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Degenerative lumbar spondylolisthesis. Cohort of 670 patients, and proposal of a new classification

Abstract: IV Observational cohort study. Retrospective review of prospectively collected outcome data.

Cited by 62 publications

References 23 publications

The Alteration of Sagittal Lumbosacral Alignment After Posterior Stabilization-Fusion in Lumbar Spondylolisthesis: Clinical Study

The Alteration of Sagittal Lumbosacral Alignment After Posterior Stabilization-Fusion in Lumbar Spondylolisthesis: Clinical Study

Treatment for Degenerative Lumbar Spondylolisthesis: Current Concepts and New Evidence

Analysis of Sagittal Profile and Radiographic Parameters in Symptomatic Thoracolumbar Disc Herniation Patients

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