Surgical Compared with Nonoperative Treatment for Lumbar Degenerative Spondylolisthesis

Abstract

Compared with patients who are treated nonoperatively, patients in whom degenerative spondylolisthesis and associated spinal stenosis are treated surgically maintain substantially greater pain relief and improvement in function for four years.

Major Spinal Surgery Procedure on a High Cardiovascular Risk Patient with Symptomatic Neural Compression due to 1: Osteoporotic T12 Compression Fracture along with 2–L5/S1 Spondylolisthesis

“…Patients with symptomatic spondylolisthesis like our patient who undergoes decompression and posterior lumbar interbody fusion are reported to have reduced pain and have a better functional outcome 6 due to mobility possible because of operative procedure in patients who are otherwise bed ridden like our patient who was bed ridden for more than 3 months.…”

Surgery or physical activity in the management of sciatica: a systematic review and meta-analysis

“…A total of 17 published papers were included in this review, [13,[28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] with a number of published reports on the same trial identified. One report was excluded due to identical data [44] and others were included as they provided results for different time points [37][38][39][40]43]. In six trials, patients were diagnosed with lumbar disc herniation, in two trials with spondylolisthesis and in four trials patients had lumbar spinal stenosis.…”

Dynamic Intraspinous Stabilization reduces Spinal Mobility After Bilateral Laminotomy

“…Patients treated surgically have a significantly better long term outcome compared to those treated non-surgically [1]. The most common surgical methods are conventional laminectomy; unilateral laminotomy for bilateral decompression, bilateral laminotomy and split-spinous process laminotomy [2,3].…”

“…Post-operative spinal instability is one of the potential complications. Thus, several studies have suggested that decompression and fusion was a superior treatment strategy [1,5,6]. Unfortunately, rigid spinal implants followed by fusion cause increased stresses of the neighboring spinal segments often leading to adjacent segment degeneration (ASD) [7][8][9].…”