Surgical treatment of low grade spondylolisthesis: the modern state of the problem

Isthmic spondylolisthesis is a common pathology in the population, often diagnosed in people of working age. On the issues of etiopathogenesis, as well as the classification of this pathology, researchers have no consensus. Currently, the literature provides different opinions on clinical features, evaluation, and treatment tactics. The presented work includes current information from the world literature on the etiology, classification, clinics, diagnostics, and treatment of patients with isthmic spondylolisthesis.The purpose of the work is to present current information from the world literature on the features of etiology, classification, clinic, diagnosis, treatment of patients with isthmic spondylolisthesis.

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Isthmic spondylolisthesis: the current state of the problem

Kinzyagulov

Lebedev

Зуев

2022

Nejrohirurgiâ (Mosk.)

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Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

Yarikov

Викторович²,

Denisov³

et al. 2021

Journal of Clinical Practice

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Adult scoliosis is a deformity of the spine with an angle of more than 10 (according to Cobb) in people with a fully formed bone system. Due to the aging of the population, the improvement of surgical techniques, the appearance of new implants and the improvement of anesthetic aids, the problem of degenerative scoliosis is increasingly being considered from the point of view of the possibilities of surgery. There are many theories that contribute to the formation of degenerative scoliosis. Conservative therapy of degenerative scoliosis includes non-steroidal anti-inflammatory drugs, corset therapy, epidural and paravertebral injections with glucocorticosteroids, physical therapy, and physical therapy. With complete ineffectiveness of conservative therapy and with a significant decrease in the quality of life of the patient, the question of performing surgical intervention is individually decided. Currently, the question of the role and scope of surgical intervention in individuals with this pathology remains debatable. The choice of surgical intervention depends on a thorough assessment of clinical symptoms, neurological status, data of instrumental methods of examination and mandatory consideration of the parameters of the global vertebral-pelvic balance. Therefore, in this article, special attention is paid to the algorithms of surgical treatment based on the choice of the type of decompression and the length of the fusion. The paper describes the generally accepted criteria for selecting the level of spondylosynthesis. Special attention is paid to the risk factors for surgical treatment. As well as the complications associated with surgical treatment are described.

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Analysis of long-term functional results of surgical treatment of spondylolisthesis in middle-aged and elderly patients

Gvozdev

Щурова

Прудникова

2022

N.N. Priorov Journal of Traumatology and Orthopedics

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BACKGROUND: Insufficient attention has been paid to the analysis of the use of instrumental methods of examination in assessment the long-term results of surgical treatment of spondylolisthesis in middle-aged and elderly patients. AIM: To show the peculiarities of strength characteristics of lower limb muscles and temperature and pain sensitivity in the dermatomes of the cauda equina roots in middle-aged and elderly patients in the distant terms after surgical treatment of spondylolisthesis depending on the etiology of the disease. MATERIALS AND METHODS: An analysis of the results of functional studies of 21 patients with spondylolisthesis aged 41 to 74 years (12 with degenerative, 9 with isthmic) is presented. The research done before treatment and 7599 months after surgery. The following research methods were used: analysis clinical (neurological status), visual analog scale (VAS), Oswestry Disability Index (ODI), radiology (functional X-ray examination), magnetic resonance imaging, anthropometry, the lower limb muscles dynamometry, esthesiometry, statistical. RESULTS: In the long term after surgical treatment, patients with isthmic spondylolisthesis had a predominant increase in the moment of force in all muscle groups (3975% of cases). Negative dynamics prevailed in the group of patients with degenerative spondylolisthesis a decrease in muscle strength characteristics in 5094% of cases. According to esthesiometry, more pronounced negative changes in the values of temperature and pain sensitivity thresholds were observed in patients with degenerative spondylolisthesis. CONCLUSION: The analysis of muscle strength characteristics and esthesiometry data determined a different degree of compensation and recovery during surgical treatment of patients with spondylolisthesis, depending on the etiology of the disease.

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Surgical treatment of low grade spondylolisthesis: the modern state of the problem

Cited by 4 publications

References 34 publications

Isthmic spondylolisthesis: the current state of the problem

Isthmic spondylolisthesis: the current state of the problem

Degenerative scoliosis of the spine: diagnosis, classification and surgical approach in older patients

Analysis of long-term functional results of surgical treatment of spondylolisthesis in middle-aged and elderly patients

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