Non-surgical Management of Spondylolisthesis in Adults

Zavatsky, Joseph M.; Briski, David C.; Frisch, Richard

doi:10.1007/978-1-4899-7575-1_10

Cited by 1 publication

(2 citation statements)

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“…30 Only one-third of slippages progress over time and patients suffering from low-grade spondylolisthesis will often respond well to conservative management in the form of activity modification, physiotherapy, and NSAIDs. 34 Conversely, patients presenting with neurologic symptoms at onset are more prone to failure of conservative treatment. 20 Furthermore, patients failing an initial 6-month trial of conservative treatment are less likely to improve and should be managed surgically.…”

Section: Introductionmentioning

confidence: 99%

“…20 Furthermore, patients failing an initial 6-month trial of conservative treatment are less likely to improve and should be managed surgically. 34 Posterior lumbar decompression combined with instrumented fusion constitutes the optimal surgical strategy for managing adult low-grade isthmic spondylolisthesis. 12 Up till now, the surgical management of high-grade spondylolisthesis is a matter of debate, whether in situ fusion is superior to reduction or not.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Outcome Assessment following Open Reduction and Instrumented Posterior Interbody Fusion of Adult Single-Level Lumbar Spondylolisthesis

Youssef

Rizk

Yahia³

2021

Egyptian Spine Journal

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Background Data: Posterior lumbar decompression combined with instrumented posterior lumbar interbody fusion (PLIF) is the gold standard management of adult spondylolisthesis. Complete anatomic surgical reduction of slippage, although controversial, is associated with encouraging results. Purpose: This study aims to assess the clinical outcome of complete open surgical reduction and instrumented PLIF in adult single-level lumbar spondylolisthesis. Study design: Retrospective clinical case study. Patients and Methods: Retrospective review of standing data and radiographs of adult patients with single-level lumbar spondylolisthesis (regardless of the aetiology) from January 2018 to January 2020. All patients have undergone posterior lumbar decompression, pedicle screw instrumentation, complete reduction of the slippage, and PLIF. All patients were assessed at six and 12 months postoperatively by Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and the Odom criteria. Results: A total of 118 patients met the inclusion criteria. There was no neurologic deterioration in any of the patients postoperatively. There was a significant change in VAS, ODI, and Odom's criteria at six and 12 months postoperatively (p < 0.001). The mean value for VAS and ODI were 0.61 ± 1.03 and 4.52 ± 7.02, respectively, at the last follow-up. There was a significant change in Odom's criteria as 61.9% of patients had excellent outcomes at the last follow-up. Conclusion: Complete surgical reduction of single-level lumbar spondylolisthesis combined with instrumented PLIF offers adequate neural element decompression and satisfactory clinical outcome. (2020ESJ227)

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Section: Introductionmentioning

confidence: 99%