Surgical treatment of spondylolisthesis using long arm screw: A literature review

Saleh, Ifran; Librianto, Didik

doi:10.1016/j.amsu.2021.103200

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…atients with spondylolisthesis often do not require surgical treatment and most of the patients can be treated and improved through conservative therapies [1,2]. In cases requiring surgical intervention, the optimal choice of patients based on the stage of the disease and the presence of underlying comorbidities can lead to the desired outcome of surgery [3].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Underlying Comorbidities on Surgical Outcome in Patients With Spondylolisthesis Undergoing Surgical Treatment

Reihanian

Behzadnia²,

Alijani³

et al. 2022

Iran J Neurosurg

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Background and Aim: In patients with spondylolisthesis, both conservative and surgical approaches are considered based on the stage of the disease. However, in addition to the technical characteristics of the surgery and the stage of the disease, the underlying characteristics of the patients may also affect the therapeutic prognosis. In this regard, some studies have indicated that the surgical prognosis is worse in diabetic and hypertensive patients and also preoperative medical treatments, such as anticoagulants may be effective in the prognosis of the disease. The aim of this study was to evaluate the role of underlying risk factors, such as diabetes mellitus, hypertension, and anticoagulant conditions (such as aspirin) in worsening outcomes after surgery in patients with spondylolisthesis. Methods and Materials/Patients: This cross-sectional study was conducted on 130 patients suffering from spondylolisthesis and scheduled for surgery. According to baseline characteristics, 65 patients with a history of diabetes mellitus, hypertension, and receiving aspirin were categorized as the case group, and 65 sex- and age matched individuals without such comorbidities as the control group. Preoperative and postoperative radicular pain intensity, wound healing, and discharge from the surgical site were considered the study outcomes. Results: The two groups with and without comorbidities were matched for gender, mean age, mean body mass index, and time of operation. Preoperative pain intensity was similar in the groups, but those with comorbidities experienced higher radicular pain severity postoperatively. We showed no difference in the rate of surgical site discharging, but the lack of wound healing was significantly higher in those with comorbidities. Conclusion: In patients with spondylolisthesis and candidates for surgical treatment, a history of diabetes mellitus, hypertension, and aspirin can be associated with a worse prognosis, including no improvement in pain and lack of wound healing.

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Section: Introductionmentioning

confidence: 99%

The Effects of Underlying Comorbidities on Surgical Outcome in Patients With Spondylolisthesis Undergoing Surgical Treatment

Reihanian

Behzadnia²,

Alijani³

et al. 2022

Iran J Neurosurg

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“…7,8 Until now, the spondylolisthesis reduction technique has relied on posterior instrumentation, namely, bolts of the vertebral segment that has undergone listhesis and then in the final stage using a special reduction, called long arm pedicle screws. 9 Long-arm pedicle screw is a multi-axial pedicle screw with a long U-shaped screw head. In this way, the spondylolisthesis segment will be brought into alignment with the other vertebrae when the pedicle nuts and rods are being tightened.…”

Section: Introductionmentioning

confidence: 99%

Radiological Outcomes of Reduction Surgery for Degenerative Lumbar Spondylolisthesis Using Long Arm Pedicle Screws

Saleh¹,

Librianto²,

Dilogo³

et al. 2022

ORR

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Objective Until now, the spondylolisthesis reduction technique has relied on posterior instrumentation using long arm pedicle screws. In this way, the segments will be brought into alignment with the other vertebrae with the pedicle mats being tightened. The aim of this study is to acknowledge whether reduction surgery for degenerative lumbar spondylolisthesis (DLS) using long arm pedicle screws is able to correct the listhesis and spinopelvic parameters. Methods We carried out a retrospective study of patients with degenerative lumbar spondylolisthesis who went through reduction surgery using long arm pedicle screws in our institutions from January 2019 to March 2022. Preoperative and postoperative radiological outcomes consisting of listhesis and spinopelvic parameters were assessed. Results We found a statistical difference between the magnitude of listhesis immediately after surgery and preoperatively (p<0.001), with a successful correction of 85.85%. There was significant decrease in the value of pelvic tilt (p=0.044) and increase in the value of sacral slope (p=0.008) after surgery. Conclusion Reduction surgery using long arm pedicle screws for DLS was able to reduce the listhesis effectively up to 85.5%, and also to restore the parts of spinopelvic parameters, the pelvic tilt and sacral slope, approaching normal values.

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Research topics and trends of isthmic spondylolisthesis: A bibliometric analysis and review of Literature

Gani,

Ermawan,

Wiyono

et al. 2025

Journal of Orthopaedic Reports

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Surgical treatment of spondylolisthesis using long arm screw: A literature review

Cited by 3 publications

References 20 publications

The Effects of Underlying Comorbidities on Surgical Outcome in Patients With Spondylolisthesis Undergoing Surgical Treatment

The Effects of Underlying Comorbidities on Surgical Outcome in Patients With Spondylolisthesis Undergoing Surgical Treatment

Radiological Outcomes of Reduction Surgery for Degenerative Lumbar Spondylolisthesis Using Long Arm Pedicle Screws

Research topics and trends of isthmic spondylolisthesis: A bibliometric analysis and review of Literature

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