1,098 results match your criteria Lumbosacral Spondylolisthesis


Spondylolisthesis and Idiopathic Sarcopenia Treated With Minimally Invasive Surgery for Transforaminal Lumbar Interbody Fusion: A Case Study and Literature Review.

Cureus 2022 May 17;14(5):e25086. Epub 2022 May 17.

Neurological Surgery, American Neurospine Institute, Plano, USA.

Sarcopenia is a muscle-wasting disease common among older adults. The condition has been associated with adverse perioperative and postoperative outcomes following spinal surgery. The combination of this muscle-wasting syndrome and spondylolisthesis and how we approached the case makes it a compelling study for surgeons attempting to treat this patient population more effectively. Read More

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Improved Pain and Quality of Life with Corrected Thoracic and Lumbosacral Spondylolisthesis Subluxations Using CBP: A Case Study and 1-Year Follow-Up.

J Radiol Case Rep 2022 Feb 1;16(2):21-38. Epub 2022 Feb 1.

Institute for Spinal Health & Performance, Cumming, GA, USA.

Objective: Discuss non-surgical spinal rehabilitation for a 27-year-old male with thoracic and lumbosacral spondylolistheses. A selective literature review and discussion are provided.

Clinical Features: A 27-year-old male presented with severe, 8/10 mid and low back pain. Read More

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February 2022

Lumbosacral Transitional Vertebra Contributed to Lumbar Spine Degeneration: An MR Study of Clinical Patients.

J Clin Med 2022 Apr 22;11(9). Epub 2022 Apr 22.

Spine Lab, Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

We aimed to comprehensively characterize degenerative findings associated with various types of lumbosacral transitional vertebra (LSTV) on magnetic resonance images. Three hundred and fifty patients with LSTV (52.3 ± 10. Read More

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[The use of underwater horizontal traction and mechanotherapy in the complex treatment of degenerative spondylolisthesis of the lumbosacral spine: a pilot clinical study].

Vopr Kurortol Fizioter Lech Fiz Kult 2022 ;99(2):45-52

National Medical Research Center for Rehabilitation and Balneology, Moscow, Russia.

Underwater traction of the spine is a physiotherapeutic method that combines the effects of mechanical traction and fresh water of indifferent temperature and seems promising for the treatment of pain in the lower back, which is due to the physiological basis of the mechanism of action on the spinal motion segment by eliminating muscle spasm and restoring the biomechanics of the spine.

Objective: To study the effectiveness of underwater horizontal traction in combination with mechanotherapy in patients with non-stenosing unstable degenerative spondylolisthesis of the lumbosacral spine of the 1st degree, accompanied by pain.

Material And Methods: The clinical study included 14 patients (mean age 50. Read More

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Functional outcomes are preserved in adult acetabular dysplasia with radiographic evidence of lumbosacral spine anomalies: an investigation in hip-spine syndrome.

BMC Musculoskelet Disord 2022 Apr 25;23(1):385. Epub 2022 Apr 25.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-8883, USA.

Purpose: Acetabular dysplasia (AD) is a debilitating condition which results in impaired hip function, leading to hip-spine syndrome with anomalies identifiable on plain radiographs. However, no study to date has investigated the association between radiographic spine anomalies and functional outcomes in AD. We hypothesize that AD patients with radiographic evidence of lumbar spine anomalies are associated with decreased function in comparison to those without such radiographic findings. Read More

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Sacral dural arteriovenous fistula of the filum terminale coexisting with partially thrombosed filum vein: A case report and literature review.

Surg Neurol Int 2022 4;13:78. Epub 2022 Mar 4.

Department of Radiology, Bumrungrad International Hospital, Bangkok, Thailand.

Background: Filum terminale arteriovenous fistulas (FTAVFs) are rare and usually classified as intradural ventral AVFs or Type IVa perimedullary fistulas, located on the pia surface along the course of filum terminale internum (FTI). We report an extremely rare case of sacral dural arteriovenous fistula of the FT. We also review the occurrence of FTAVFs in the sacral region. Read More

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Influence of the geometric and material properties of lumbar endplate on lumbar interbody fusion failure: a systematic review.

J Orthop Surg Res 2022 Apr 10;17(1):224. Epub 2022 Apr 10.

Department of Biomedical Engineering, University of Melbourne, Parkville, VIC, 3010, Australia.

Background: Lumbar interbody fusion (LIF) is an established surgical intervention for patients with leg and back pain secondary to disc herniation or degeneration. Interbody fusion involves removal of the herniated or degenerated disc and insertion of interbody devices with bone grafts into the remaining cavity. Extensive research has been conducted on operative complications such as a failure of fusion or non-union of the vertebral bodies. Read More

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Lumbo-sacral pedicular aplasia diagnosis and treatment: a systematic literature review and case report.

Br J Neurosurg 2022 Apr 8:1-7. Epub 2022 Apr 8.

Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, Rome, Italy.

Aplasia of the lumbar pedicle is a rare condition, frequently associated with low back pain. Its recognition is fundamental in the definition of the correct treatment. We performed a literature review in order to clarify how to best diagnose and treat this rare anatomical condition. Read More

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The Use of a Transforaminal Lumbar Interbody Fusion (TLIF) Cage Following Inadequate Access to the Disc Space During an Anterior Lumbar Interbody Fusion Procedure.

Cureus 2022 Mar 3;14(3):e22792. Epub 2022 Mar 3.

Neurological Surgery, New York University Grossman School of Medicine, New York City, USA.

Non-specific lower back pain caused by degenerative lumbar disease, such as disc and facet joint degeneration or spondylolisthesis, significantly impairs quality of life of patients and is associated with higher pain scores and reduced function. Patients that fail to respond to conservative treatment may require surgical intervention, such as lumbar interbody fusion (LIF). Compared to other approaches, an anterior approach to lumbar interbody fusion (ALIF) has advantages regarding efficacy of fusion, visualization of relevant anatomy, and a larger allowable size of the interbody fusion device. Read More

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Comparative analysis of the effects of OLIF and TLIF on adjacent segments after treatment of L4 degenerative lumbar spondylolisthesis.

J Orthop Surg Res 2022 Apr 4;17(1):203. Epub 2022 Apr 4.

Spine Surgery Department 1, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Background: The fusion of the lumbar spine may lead to the degeneration of the adjacent segments. In this study, the effects of OLIF and TLIF on adjacent segments after treatment of L4 degenerative lumbar spondylolisthesis (DLS) were compared and analysed.

Methods: This was a retrospective analysis of the medical records of consecutive patients treated with OLIF or TLIF for L4DLS. Read More

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Direct Pars Repair with Cannulated Screws in Adults: A Case Series and Systematic Literature Review.

World Neurosurg 2022 Jul 30;163:e263-e274. Epub 2022 Mar 30.

Department of Neurological Surgery, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA. Electronic address:

Objective: Lumbar spondylolysis occurs in 5%-8% of adults. This study aimed to report clinical and radiographic outcomes of direct pars repair in adults with lumbar spondylolysis.

Methods: We conducted a retrospective review of all patients treated for lumbar spondylolysis via open fracture reduction and direct pars repair with cannulated screws using a lag technique. Read More

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Lateral Lumbar Interbody Fusion at the L5-S1 Vertebral Level: A Unique Anatomical Case Report.

Cureus 2022 Feb 10;14(2):e22096. Epub 2022 Feb 10.

Orthopedic Surgery, Prisma Health-Midlands/University of South Carolina, Columbia, USA.

A 57-year-old female presented with L4-L5 and L5-S1 mobile spondylolisthesis and associated stenosis with radiculopathy who failed conservative treatment. This patient underwent lateral lumbar interbody fusion (LLIF) of L4-L5 and L5-S1, and posterior spinal fusion (PSF) with instrumentation. LLIF is a minimally invasive procedure to treat degenerative diseases of the lumbar spine. Read More

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February 2022

Rehabilitation to improve outcomes of lumbar fusion surgery: a systematic review with meta-analysis.

Eur Spine J 2022 Jun 8;31(6):1525-1545. Epub 2022 Mar 8.

Reval Rehabilitation Research Center, Hasselt University, Diepenbeek, Belgium.

Purpose: To evaluate the effectiveness of rehabilitation strategies on disability, pain, pain-related fear, and return-to-work in patients undergoing lumbar fusion surgery for degenerative conditions or adult isthmic spondylolisthesis.

Methods: Six electronic databases were systematically searched for randomized controlled trials (RCTs) evaluating the effect of rehabilitation (unimodal or multimodal). The estimated effect size was calculated for interventions with homogeneous content using a random-effects model. Read More

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Instrumented Versus Noninstrumented Spinal Fusion for Degenerative Lumbar Spondylolisthesis: A Systematic Review.

Clin Spine Surg 2022 06 22;35(5):213-221. Epub 2021 Oct 22.

Houston Methodist Orthopedic and Sports Medicine, Houston.

Study Design: Systematic review.

Objective: This systematic review compares radiographic and clinical outcomes between instrumented and noninstrumented posterolateral lumbar spine fusions for the treatment of degenerative lumbar spondylolisthesis.

Summary Of Background Data: The optimal method of fusion for instability from degenerative lumbar spondylolisthesis remains to be an area of debate amongst spine surgeons. Read More

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Respective Correction Rates of Lateral Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation for Lumbar Degenerative Spondylolisthesis.

Medicina (Kaunas) 2022 Jan 23;58(2). Epub 2022 Jan 23.

Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare (IUHW), Chiba 286-8520, Japan.

There are few reports describing the radiographic correction of vertebral slippage in lateral interbody fusion and percutaneous pedicle screw fixation for lumbar degenerative spondylolisthesis. [Objectives] We evaluated the intraoperative surgical correction obtained by lateral interbody fusion and percutaneous pedicle screw procedures. Fifty patients were included in this study. Read More

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January 2022

Risk factors for early-onset radiographical adjacent segment disease in patients with spondylolytic spondylolisthesis after single-level posterior lumbar interbody fusion.

Spine J 2022 Jul 11;22(7):1112-1118. Epub 2022 Feb 11.

Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan; Keio Spine Research Group (KSRG), Tokyo, Japan. Electronic address:

Background Context: The risk factors for radiographical adjacent segment disease (ASD) in patients with degenerative spondylolisthesis have been previously reported. However, there are only few reports on patients with spondylolytic spondylolisthesis who underwent single-level posterior lumbar interbody fusion (PLIF).

Purpose: The study aimed to investigate the risk factors for radiographical ASD in patients with L5-S1 spondylolytic spondylolisthesis who underwent single-level PLIF. Read More

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Utility of the decubitus or the supine rather than the extension lateral radiograph in evaluating lumbar segmental instability.

Eur Spine J 2022 04 8;31(4):851-857. Epub 2022 Feb 8.

Division of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

Objective: To determine the superiority of decubitus and supine radiographs for the reduction of olisthesis instead of the extension radiograph, and the inconsistency of the CT scout view, 3D-reconstruction and MR image in evaluating segmental instability.

Methods: A cohort of 154 low-grade lumbar degenerative spondylolisthesis patients with the average age of (60.9 ± 8. Read More

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Use of L5-S1 transdiscal screws in the treatment of isthmic spondylolisthesis: a technical note.

J Spine Surg 2021 Dec;7(4):510-515

Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

Surgical treatment of L5-S1 isthmic spondylolisthesis consists of a combination of decompression and fusion. One previously discussed mode of fusion is via transdiscal screws. Biomechanical studies of transdiscal screws have demonstrated greater rigidity than traditional pedicle screw fixation, which theoretically translates to a higher fusion rate. Read More

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December 2021

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

Ann Med Surg (Lond) 2022 Jan 21;73:103200. Epub 2021 Dec 21.

Department of Orthopedic and Traumatology, Faculty of Medicine Universitas Indonesia. Fatmawati General Hospital, Jakarta, Indonesia.

Background: Spondylolisthesis refers to anterior displacement of the vertebral body in reference to the bordering vertebral bodies, causing segmental instability, that mostly occurs in the middle lumbar spine and the lumbosacral junction. If surgery is indicated, open technique with lumbar pedicle strew instrumentation is the standard therapy. Recently, minimally-invasive technique can be applied in spondylolisthesis surgery using percutaneous long-arm pedicle screws with a promising short- and long-term outcome. Read More

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January 2022

Basilar invagination, spinal "degeneration," and "lumbosacral" spondylolisthesis: Instability is the cause and stabilization is the treatment.

Authors:
Atul Goel

J Craniovertebr Junction Spine 2021 Oct-Dec;12(4):327-328. Epub 2021 Dec 11.

Department of Neurosurgery, Lilavati Hospital and Research Center, Mumbai, Maharashtra, India.

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December 2021

Analysis of lumbar lateral instability on upright left and right bending radiographs in symptomatic patients with degenerative lumbar spondylolisthesis.

BMC Musculoskelet Disord 2022 Jan 17;23(1):59. Epub 2022 Jan 17.

Department of Orthopedics, Spine Center, The First Affiliated Hospital of USTC: Anhui Provincial Hospital, No. 17, Lujiang Road, Hefei, 230001, China.

Background: To evaluate lumbar mobility in various positions using upright left and right bending radiographs in patients with degenerative lumbar spondylolisthesis (DLS), as well as to assess the impact of lateral instability on patient-reported outcomes.

Methods: This study retrospectively reviewed a consecutive series of patients with DLS between January 2019 and October 2020. The enrolled patients were divided into two groups: the lateral instability group (group L) and non-lateral instability group (group NL). Read More

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January 2022

[Comparative study on effectiveness of percutaneous endoscopic and Wiltse-approach transforaminal lumbar interbody fusion in the treatment of lumbar spondylolisthesis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jan;36(1):71-78

Department of Orthopedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan, 450052, P. R. China.

Objective: To compare the effectiveness of percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) and Wiltse-approach TLIF (W-TLIF) in the treatment of lumbar spondylolisthesis.

Methods: The clinical data of 47 patients with lumbar spondylolisthesis who met the selection criteria between July 2018 and June 2019 were retrospectively analyzed, in which 21 patients were treated with PE-TLIF (PE-TLIF group) and 26 patients were treated with W-TLIF (W-TLIF group). There was no significant difference between the two groups in age, gender, disease duration, level of spondylolisthesis vertebrae, spondylolisthesis degree, spondylolisthesis type, and preoperative visual analogue scale (VAS) score of low back pain and leg pain, lumbar Japanese Orthopaedic Association (JOA) score, and the disc height (DH), segmental lordosis (SL), and Taillard index (TI) of the operated vertebrae ( >0. Read More

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January 2022

Preoperative Duration of Symptoms Does Not Affect Outcomes of Anterior Lumbar Interbody Fusion.

Neurosurgery 2022 02;90(2):215-220

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.

Background: Previous studies have examined the impact of preoperative duration of symptoms (DOS) on lumbar spinal surgery outcomes although this has not been explored for anterior lumbar interbody fusion (ALIF).

Objective: To assess the impact of preoperative DOS on patient-reported outcome measures (PROMs) of ALIF with posterior instrumentation.

Methods: A database was retrospectively reviewed for ALIFs with posterior instrumentation. Read More

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February 2022

Different degeneration patterns of paraspinal muscles in degenerative lumbar diseases: a MRI analysis of 154 patients.

Eur Spine J 2022 03 3;31(3):764-773. Epub 2022 Jan 3.

Department of Orthopedic, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital of Capital Medical University, No.45 Changchun Street, Beijing, 100053, China.

Study Design: A retrospective study.

Objective: To evaluate the different degeneration patterns of paraspinal muscles in degenerative lumbar diseases and their correlation with lumbar spine degeneration severity. The degeneration characteristics of different paraspinal muscles in degenerative lumbar diseases remain unclear. Read More

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A novel anatomo-physiologic high-grade spondylolisthesis model to evaluate L5 nerve stretch injury after spondylolisthesis reduction.

Neurosurg Rev 2022 Apr 29;45(2):1741-1746. Epub 2021 Dec 29.

Swedish Neuroscience Institute, Seattle, USA.

L5 nerve palsy is a well-known complication following reduction of high-grade spondylolisthesis. While several mechanisms for its occurrence have been proposed, the hypothesis of L5 nerve root strain or displacement secondary to mechanical reduction remains poorly studied. The aim of this cadaveric study is to determine changes in morphologic parameters of the L5 nerve root during simulated intraoperative reduction of high-grade spondylolisthesis. Read More

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New diagnostic support tool for lumbosacral foraminal stenosis using radiographs of the lumbar spine.

J Clin Neurosci 2022 Feb 22;96:8-11. Epub 2021 Dec 22.

Department of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, Japan.

Detection of lumbar foraminal stenosis (LFS) is difficult using common diagnostic methods, resulting in poor outcomes after lumbar spine surgery. This study aimed to develop a new support tool to detect lumbosacral foraminal stenosis. At our hospital, the following parameters were examined on standing radiographs of the lumbar spine in 100 patients who underwent surgery for lumbar spinal canal and/or foraminal stenosis: 1) presence or absence of the inclination of L5 toward the symptomatic side, 2) distance between the pedicle of L5 and S1, 3) width of the transverse process of L5, 4) distance between the transverse process of L5 and the sacral ala, 5) length of the lateral osteophyte of L5, 6) lumbosacral angle, 7) disc height of L5-S1, and 8) presence or absence of spondylolisthesis of L5. Read More

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February 2022

A morphological characterization of the lumbar neural arch in females and males with degenerative spondylolisthesis.

BMC Musculoskelet Disord 2021 Dec 8;22(1):1026. Epub 2021 Dec 8.

The Spinal Research Laboratory, Department of Physical Therapy, The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, 69978, Tel Aviv, Ramat Aviv, Israel.

Background: Although Degenerative Spondylolisthesis (DS) is a common osseous dysfunction, very few studies have examined the bony morphology of lumbar the neural arch in the population afflicted with DS. Therefore, this study aimed to characterize the neural arch (NA) morphology along the entire lumbar spine in individuals with degenerative spondylolisthesis (DS) and compare them to healthy controls.

Methods: One hundred CTs from a database of 500 lumbar CTs of spondylolisthesis were selected. Read More

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December 2021

[Posterior Lumbar Decompression:Variations and Pitfalls].

No Shinkei Geka 2021 Nov;49(6):1246-1256

Department of Neurosurgery, Juntendo University.

Lumbar canal stenosis is the most common pathological condition causing spinal degeneration. Symptomatic patients who fail conservative treatment are considered candidates for surgical treatment. Many types of minimally invasive procedures for lumbar decompression have been proposed, most of which are effective and have shown good long-term results. Read More

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November 2021

Traumatic Vertebral Fracture in a Patient With Transforaminal Lumbar Interbody Fusion: A Rare Complication.

Cureus 2021 Oct 24;13(10):e19004. Epub 2021 Oct 24.

Department of Neurosurgery, Taipei Veterans General Hospital, Taipei, TWN.

Transforaminal lumbar interbody fusion (TLIF) offers the potential benefits of anterior and posterior column decompression and fusion. Pseudarthrosis and infection are among the most common perioperative complications. Vertebral fracture after TLIF is a rare and unusual complication. Read More

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October 2021

Direct medical costs after surgical or nonsurgical treatment for degenerative lumbar spinal disease: A nationwide matched cohort study with a 10-year follow-up.

PLoS One 2021 1;16(12):e0260460. Epub 2021 Dec 1.

Department of Orthopedics, Hallym University Dongtan Sacred Heart Hospital, Gyeonggi, Republic of Korea.

Objective: The demand for treating degenerative lumbar spinal disease has been increasing, leading to increased utilization of medical resources. Thus, we need to understand how the budget of insurance is currently used. The objective of the present study is to overview the utilization of the National Health Insurance Service (NHIS) by providing the direct insured cost between patients receiving surgery and patients receiving nonsurgical treatment for degenerative lumbar disease. Read More

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January 2022