Surgical Treatment for Spondylolisthesis in the Adult

Ph, Newman

doi:10.1097/00003086-197606000-00014

Cited by 9 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Initial approaches to surgical treatment of degenerative spondylolisthesis reserved fusion for progressive postoperative slips or for younger, active patients with clear symptoms of instability, or if complete facetectomy had been performed. 39,40,45,52 In 1985, Lombardi et al reported…”

Section: Fusionmentioning

confidence: 99%

Degenerative Lumbar Spondylolisthesis: Treatment Strategies

Stovall¹,

Halliday²

2000

Seminars in Neurosurgery

View full text Add to dashboard Cite

Degenerative lumbar spondylolisthesis is a heterogenous entity requiring a number of different treatment strategies. Only 10-15% of patients with a symptomatic degenerative spondylolisthesis will require surgical intervention. The traditional surgical treatment has been decompression of the associated stenosis with a laminectomy and medial facetectomies. However, several studies have shown improved outcome with the addition of an intertransverse fusion. Although outcome is improved with fusion, a significant improvement in patient outcome has not been demonstrated with instrumented fusions. Thus, instrumented fusion should be reserved for patients at high risk for a progressive deformity such as patients with excessive motion on preoperative radiographs, a documented progressive slip, and those requiring a discectomy or total facetectomy to adequately decompress the neural elements. The standard type of fusion has been a posterolateral intertransverse fusion with autologous bone. An interbody fusion may be advantageous when there is severe disc space collapse with narrowing of the neuroforamen, when a discectomy is performed as part of the decompression, or to correct a kyphosis at that motion segment. Randomized, controlled outcome studies evaluating the use of instrumented fusions in subsets of patients with degenerative spondylolisthesis are needed. ObjectivesOn completion of this article the reader should understand the different treatment strategies for degenerative spondylolisthesis and the indications for each treatment.

show abstract

Section: Fusionmentioning

confidence: 99%

Degenerative Lumbar Spondylolisthesis: Treatment Strategies

Stovall¹,

Halliday²

2000

Seminars in Neurosurgery

View full text Add to dashboard Cite

show abstract

“…[7][8][9][10][11][12][13][14][15] Spinal arthrodesis implies fusion of joints around the vertebral disc unit involving articular facets or vertebral interbody region. [16][17][18][19][20][21][22][23][24][25][26] Cloward is credited with describing the technique of posterior lumbar interbody fusion called as (PLIF). [27] The original described technique was later modified in many ways by other surgeons as described in literature by Steffee AD, Sitkowski DJ, Roy-Camille R, Saillant G, and Mazel C. [28,29] Various comparative studies have been done between PLIF and posterolateral fusion and the complications of PLIF commonly seen in the long term like adjacent segment degeneration have been documented.…”

Section: Introductionmentioning

confidence: 99%

Clinical evaluation of lumbar interbody fusion (PLIF/TLIF) done for spondylolysthesis at L4-L5 level

Ansari¹,

Ansari²

2019

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Lumbar pain due to spondylolysthesis (DLS) in the elderly especially the rural Indian population involved in farming and agriculture hard work is a common and incapacitating problem. Aims: Degenerative Lysthesis of L4-L5 level is commonly observed with associated disc degeneration leading to foraminal stenosis causing radiculopathy and neuroclaudication. Methods and Material: We have done a short term prospective follow-up of 26 patients treated with posterior lumbar interbody fusion (PLIF) with titanium pedicular screws and cage for L4-L5 degenerative spondylolysthesis (DLS) for 1, 3, and 6 months after surgery using Japanese Orthopaedic Association (JOA) criteria and MacNab's criteria. Statistical analysis used: Chi-Square Test or Mc Nemers Chi-Square Test. Results: The rate of improvement as calculated from the JOA score improved from 8.34 preoperatively to 72.19 at 6 months post-operative after PLIF for DLS and also good to excellent results in 84.61% cases according to Mac Nab's criteria. Conclusions: Hence we conclude that PLIF for DLS significantly improves quality of life postoperatively because of relief of back pain and neurological symptoms.

show abstract

“…The patients were confined to bed for 2 months and wore a corset for an additional 4-6 months. Buck (5, 6), 2 years later, described a bilateral lag screw fixation technique (Figure I A) which allowed early mobilization and was subsequently used by other authors (2,8,12,17,19,20,21,22,23). In 1982, Bradford ( 3 , 4) described a technique proposed earlier by Scott, using internal fixation of the lysis with cerclage wires (Figure 1B).…”

mentioning

confidence: 99%

Direct repair of spondylolysis

Jeanneret

1993

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Surgical Treatment for Spondylolisthesis in the Adult

Cited by 9 publications

References 0 publications

Degenerative Lumbar Spondylolisthesis: Treatment Strategies

Degenerative Lumbar Spondylolisthesis: Treatment Strategies

Clinical evaluation of lumbar interbody fusion (PLIF/TLIF) done for spondylolysthesis at L4-L5 level

Direct repair of spondylolysis

Contact Info

Product

Resources

About