Radiographic and functional outcome of posterolateral lumbosacral fusion for low grade isthmic spondylolisthesis in children and adolescents

Sud, Alok; McGurk, Simon

doi:10.1302/0301-620x.98b1.35672

Cited by 17 publications

(20 citation statements)

References 27 publications

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“…Средняя величина грудного кифоза до операции -40,5°, после операции -29,1°, на последнем контрольном осмотре -32,4°. [29].…”

Section: результатыunclassified

“…При этом возможно саморазрешение сколиотической деформации при адекватном лечении спондилолистеза применительно к первым двум типам. Например, Zhou et al [31] и Srivastava et al [28] приводят случаи, когда после коррекции спондилолистеза сколиоз практически полностью купирован, причем величина исходных сколиотических дуг достигала 50° [24,[28][29][30][31].…”

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“…Объединяет исследователей лишь то, что при сочетании идиопатического сколиоза (обычно грудной локализации) со спондилолистезом обе патологии следует рассматривать отдельно и в соответствии с этим определять показания к оперативному лечению [8,14,29]. Одни хирурги считают необходимым стабилизировать пояснично-крестцовый отдел позвоночника, особенно при тяжелых степенях листеза, а затем корригировать сколиотическую деформацию [23,29,31], другие полагают, что спондилодез L 5 -S 1 вообще не является обязательным и ограничиваются исправлением вышележащей деформации [8,15,19]. В основном хирурги стремятся оставить как можно больше интактных позвоночно-двигательных сегментов дистальнее зоны спондилодеза и сохранить максимальный объем движений в поясничном отделе позвоночника [15].…”

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Scoliosis and Spondylolisthesis: A Solution to the Problem

Михайловский¹,

Belozerov²

2018

Hir. pozvonoč.

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Objective. To evaluate the results of surgical correction of scoliotic deformities in patients with spondylolisthesis. Material and Methods. A total of 51 patients with scoliosis and spondylolisthesis were observed in 1998-2016. Spondylolisthesis was asymptomatic in 49 cases. Most patients had grade I spondylolisthesis. Surgical correction of scoliotic deformity of the spine with segmental instrumentation was performed in 31 cases. Results. The average magnitude of the initial scoliotic curve before surgery was 67.2°, after surgery-33.4°, and correction was 50.3 %. The magnitude of countercurve before surgery was 28.1°, after surgery-11.1°, and correction was 35.5 %. In all cases, the L5 vertebra was not included in the spinal fusion zone. Progression of the degree of the L5 vertebra displacement in the postoperative period was not revealed. Neurological deficit was not observed. The average follow-up period was 5.4 ± 3.3 years. Conclusion. Correction of idiopathic scoliosis in the presence of L5 spondylolisthesis can be carried out with good and satisfactory results and minimal risk of listhesis progression, and with preservation of the achieved result in the long-term period.

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Section: результатыunclassified

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Scoliosis and Spondylolisthesis: A Solution to the Problem

Михайловский¹,

Belozerov²

2018

Hir. pozvonoč.

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“…Другая возможная причинанедостаточная коррекция глобального сагиттального баланса, так как верхний инструментированный позвонок располагается на уровне Th 9 , что часто является вершиной физиологического кифоза и по этой причине неблагоприятной точкой фиксации из-за высокого риска дисбаланса туловища и формирования переходного кифоза. В другом исследовании [55] из 34 пациентов со спондилолистезом у 10 выявлен сколиоз, который потребовал дальнейшей хирургической коррекции. В 8 случаях, по мнению авторов, развитие сколиоза связано с листезом, в 2 -сколиоз расценен как иди-опатический.…”

Section: сочетанные патологииunclassified

Scoliosis and Spondylolisthesis: Literature Review

Mikhaylovskiy¹,

Sadovoy²,

Belozerov³

2017

Hir. pozvonoč

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At present, there are no reliable prognostic factors indicating the progressive nature of spondylolisthesis in children and adolescents. Often the main complaint is a pain syndrome, which is well arrested by conservative therapy, while the quality of life of patients without surgery is not significantly impaired. The presented review of the literature shows that it is better to correct scoliotic deformity at a younger age when indications arise. Isthmic spondylolisthesis and scoliosis should be considered as different pathologies. In the absence of convincing evidence that spondylolisthesis has caused the scoliosis development, indications for surgical treatment should be considered as those for individual pathologies. Isolated correction of scoliotic deformity does not lead to a progression of scoliosis. Papers of Russian and foreign authors from e-Library, Medline and PubMed databases were reviewed. The evidence level in majority of papers is III(C), and in part of papers-II(B).

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“…В ряде случаев возникает компрессионный синдром или наблюдаются неврологические расстройства. Данные литературы свидетельствуют о преимуществе хирургических методов лечения при прогрессировании листеза и появлении корешкового синдрома и/или неврологических расстройств [17,[19][20][21][22][23][24]. М.В.…”

Section: Introductionunclassified

Surgical treatment of lower lumbar spine pathology in children and adolescents

Krutko

Владимирович²,

Sanginov

et al. 2018

Pediatr Traum Orthop Reconstr Surg

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Introduction. Analysis of the modern literature shows that the number of children complaining of low back pain of varying intensity in the spine increases annually. Publications on the surgical treatment of juvenile osteochondrosis were scarce. Currently, there are no algorithms for choosing a surgical treatment for children and adolescents with lumbar spine pathology, particularly high-grade listhesis, methods and terms of surgical treatment, and the use of reduction maneuvers remain debatable. There are no high-quality evidence studies. Aim. This study aimed to summarize the experience of treatment of children and adolescents with pathology of the lower lumbar spine. Material and methods. We performed a retrospective analysis of the treatment outcomes in patients with lower lumbar spine pathology who were younger than 18 years and who underwent surgery in the Neurosurgical Department No. 2 of the Tsiv’yan Novosibirsk Research Institute of Traumatology and Orthopedics between 2008 and 2018. The mean age of the patients was 15.5 years. We structured pathologies and interventions in children and adolescents and evaluated the clinical and radiological outcomes of treatment and the rate of intraoperative and postoperative complications. Results and discussion. From 2008 to 2018, 11,428 patients with degenerative spine disease and isthmic/dysplastic spondylolisthesis underwent surgery at the Neurosurgical Department No. 2. Of these, 55 (0.5%) patients were younger than 18 years. In all patients, surgical treatment led to pain relief and physical activity recovery. Decompression/stabilization surgery through the posterior approach enabled formation of an artificial block in 100% of cases. The rate of surgical treatment complications was 8.6% and 28.6% in children and adolescents with herniated lumbar intervertebral discs and spondylolisthesis, respectively. Conclusion. Surgical treatment of children and adolescents with pathology of the lower lumbar spine demonstrated an excellent clinical outcome. Disc herniation did not recur 4.9 years after decompression surgery for herniated lumbar intervertebral discs. Decompression/stabilization surgery through the posterior approach in children and adolescents with spondylolisthesis facilitated abolition of pain, regression of neurological disorders, full recovery of physical activity, and formation of a reliable artificial block. Potential complications were resolved without consequences and did not downplay the importance of surgical techniques in the treatment of this group of patients.

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Radiographic and functional outcome of posterolateral lumbosacral fusion for low grade isthmic spondylolisthesis in children and adolescents

Cited by 17 publications

References 27 publications

Scoliosis and Spondylolisthesis: A Solution to the Problem

Scoliosis and Spondylolisthesis: A Solution to the Problem

Scoliosis and Spondylolisthesis: Literature Review

Surgical treatment of lower lumbar spine pathology in children and adolescents

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