Minimum of 10-year follow-up of V-rod technique in lumbar spondylolysis

Linhares, Daniela; Rodrigues, Pedro; Silva, Manuel Ribeiro da; Matos, Rui; Veludo, Vitorino; Pinto, Rui; Nevès, Nuno

doi:10.1007/s00586-018-5833-4

Cited by 5 publications

(13 citation statements)

References 22 publications

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“…Data extracted through PubMed, Medline, Scopus, Springer, Web of Science databases yielded 12 eligible articles. Out of these 12 full length articles, 4 were comparative studies, [ 16 , 17 , 18 , 19 ] 1 was a cohort study, [ 15 ] 1 was an RCT, [ 23 ] 1 was a systematic review [ 24 ] and 5 were case-control studies. [ 20 , 21 , 22 , 25 , 26 ] One study had compared operative treatment with physical therapy.…”

Section: Resultsmentioning

confidence: 99%

“…[ 17 , 19 ] Healing modalities were compared with PT in 4 studies [ 20 , 21 , 23 , 24 ] whereas remaining 4 studies had compared surgery with a placebo control group. [ 22 , 25 , 15 , 26 ] The descriptive data has been shown in the (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…[ 20 , 21 , 23 , 24 ] Operative treatment methods showed more improvement in pain and functional disability with fusion as compared to strength training. [ 22 , 25 , 15 , 26 ] The prevailing noninvasive interventions had compared flexion and extension exercises and showed significant improvement in self-rated recovery, pain and return to work in the flexion-exercise group. [ 17 , 19 ] Previous studies proved that low intensity pulsed ultrasound, electro acupuncture and pulsed electromagnetic filed method was effective in bone union.…”

Section: Resultsmentioning

confidence: 99%

“…The most effective operative treatment is the pedicle screw fixation +/- interbody fusion depending the extent of disk degeneration and craniocaudal foraminal stenosis. [ 14 , 15 ]…”

Section: Introductionmentioning

confidence: 99%

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Prevailing treatment methods for lumbar spondylolysis

et al. 2021

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Background: Aim of this study was to systematically review the prevailing treatment methods for lumbar spondylolysis. Methods: Manuscripts published between 1951 and 2020 were searched by using PubMed, Medline, Scopus, Springer, Web of Science databases. The study protocol was registered with PROSPERO (CRD42020218651). The inclusion criteria for all articles of prevailing treatment methods for spondylolysis were: English language; at least 1 relevant treatment method for spondylolysis; Randomized controlled trial (RCT), systematic review, comparative study, cross-sectional, cohort, and/or case control study pre-diagnosed cases of spondylolysis whereas article was excluded if any spinal deformity any neurological condition. Standards have been independently applied by using 2 reviewers and another author resolved disagreements. Results: Data extraction screened 12 full-length articles. Description, treatment, outcome, and findings were individually extracted and cross-referenced. Discussion: Current review has suggested that the noninvasive treatment method specifically low intensity pulsed ultrasound, electro acupuncture and pulsed electromagnetic filed is effective for bone union while operative treatment specifically pedicle screw fixation +/- interbody fusion depending the extent of disk degeneration and craniocaudal foraminal stenosis is effective for minimizing pain and functional disability in patients with spondylolysis. This review concluded that the noninvasive treatment method specifically low intensity pulsed ultrasound is effective for bone union. Review Registration: PROSPERO (CRD42020218651).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The most effective operative treatment is the pedicle screw fixation +/- interbody fusion depending the extent of disk degeneration and craniocaudal foraminal stenosis. [ 14 , 15 ]…”

Section: Introductionmentioning

confidence: 99%

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Prevailing treatment methods for lumbar spondylolysis

et al. 2021

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“…All radiographic measurements were performed by Surgimap (Spine Software, version 2.2.15.1, New York, NY, USA). Oswestry Disability Index (ODI) and visual analog scale (VAS) were applied for clinical evaluation [22]. ODI was used to assess the low-back and lowerextremity pain-related disability.…”

Section: Radiographic Measurement and Clinical Assessmentmentioning

confidence: 99%

Can fusion to S1 maintain favorable surgical outcomes following one-level pedicle subtraction osteotomy in patients with thoracolumbar kyphosis secondary to ankylosing spondylitis?

et al. 2020

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Purpose To compare the surgical outcomes between ankylosing spondylitis (AS)-related thoracolumbar kyphosis patients with the lowest instrumented vertebra (LIV) at S1 or above following one-level pedicle subtraction osteotomy (PSO). Methods One hundred and two AS patients undergoing one-level PSO with a minimum of 2-year follow-up were included. Twenty-two patients were in group S1 (LIV at S1), and eighty were in group non-S1 (LIV above S1). Radiographic parameters including lumbar lordosis (LL), sacral slope (SS), pelvic incidence (PI), and sagittal vertical axis (SVA) were measured. Oswestry Disability Index (ODI) and visual analog scale (VAS) were applied for clinical assessment. Results In both S1 and non-S1 groups, the radiographic parameters and clinical outcomes were significantly improved after surgery (P < 0.05). Patients undergoing distal fusion to S1 had significantly larger preoperative PI-LL mismatch, SVA, and smaller preoperative LL and SS compared to those in group non-S1 (P < 0.05). No significant difference was found between the two groups regarding preoperative and final follow-up ODI and VAS (P > 0.05), as well as the improvement in ODI and VAS (P > 0.05). The incidence of overall complications and each type of complication including the implant failure was similar between group S1 and non-S1 (P > 0.05). Conclusion Selecting S1 as the LIV without pelvic fixation following one-level PSO in thoracolumbar kyphosis caused by AS could achieve satisfactory surgical outcomes and might not increase the complications. Patients with relatively severe sagittal imbalance, loss of LL, PI-LL mismatch, and small SS might be the potential candidates for distal fusion to S1 following one-level PSO.

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