968 results match your criteria Lumbosacral Spondylolisthesis


Cervical sagittal alignment in adolescent high dysplastic developmental spondylolisthesis: how does the cervical spine respond to the reduction of spondylolisthesis?

J Orthop Surg Res 2020 Jul 6;15(1):243. Epub 2020 Jul 6.

Department of Orthopaedics, Peking University Third Hospital, No.49 Huayuan Bei Road, Beijing, 100191, China.

Background: Although pelvic and related parameters have been well stated in lumbar developmental spondylolisthesis, cervical sagittal alignment in these patients is poorly studied, especially in high dysplastic developmental spondylolisthesis (HDDS). The purpose of this study is to investigate the sagittal alignment of the cervical spine in HDDS and how the cervical spine responds to reduction of spondylolisthesis.

Methods: Thirty-three adolescent patients with lumbar developmental spondylolisthesis who received preoperative and postoperative whole-spine x-rays were reviewed. Read More

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http://dx.doi.org/10.1186/s13018-020-01762-yDOI Listing

[A case control study of lumbar fusion surgery with the Wiltse approach and the traditional approach].

Zhongguo Gu Shang 2019 Oct;32(10):965-970

Department of Orthopaedics, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430000, Hubei, China;

Objective: To compare the clinical results between the Wiltse approach and traditional approach in lumbar fusion.

Methods: The clinical data of 70 patients with lumbar disc herniation or lumbar spondylolisthesis within Meyerding II degree who underwent lumbar fusion surgery from May 2016 to May 2017 were retrospectively analyzed. According to the surgical approach, the patients were divided into Wiltse approach group and traditional approach group. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.10.019DOI Listing
October 2019

[Minimally invasive stand-alone fusion of the lumbosacral junction].

Oper Orthop Traumatol 2020 Jun 28;32(3):192-199. Epub 2020 May 28.

Wirbelsäulenzentrum, Schön Klinik München Harlaching, Akademisches Lehrkrankenhaus und Institut für Wirbelsäulenforschung der PMU Salzburg, Harlachinger Str. 51, 81547, München, Deutschland.

Objective: Stable interbody fusion of the lumbosacral segment via an anterior retroperitoneal approach using an interbody spacer as an anterior stand-alone device which is fixed with four locking screws.

Indications: Degenerative disc disease without instability or deformity; adjacent segment degeneration; pseudarthrosis.

Contraindications: Translational instabilities as in spondylolisthesis at the index segment; deformities; steep sacral slope. Read More

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http://dx.doi.org/10.1007/s00064-020-00661-zDOI Listing

Outcomes of Minimally Invasive versus Open Surgery for Intermediate to High-grade Spondylolisthesis: A 10-Year Retrospective, Multicenter Experience.

Spine (Phila Pa 1976) 2020 May 21. Epub 2020 May 21.

Computational Neurosciences Outcomes Center, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Study Design: Retrospective cohort study OBJECTIVE.: The primary objective of our study was to evaluate the surgical outcomes and complications of minimally invasive surgery (MIS) versus open surgery in the management of intermediate to high grade spondylolisthesis, and secondarily to compare the outcomes following MIS in-situ fusion vs MIS reduction and open in-situ fusion vs open reduction subgroups.

Summary Of Background Data: High-grade spondylolisthesis is a relatively rare spine pathology with unknown prevalence. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003573DOI Listing

The Joe-Lin Operative Classification System for Pediatric Lumbosacral Spondylolysis and Spondylolisthesis.

World Neurosurg 2020 May 17. Epub 2020 May 17.

Department of Orthopedics, Changzheng Hospital, Second Affiliated Hospital of Second Military Medical University, 415 Fengyang Road, Shanghai 200003, People's Republic of China. Electronic address:

Objective: To propose and validate a novel and comprehensive classification of lumbosacral spondylolysis and spondylolisthesis in the pediatric population according to surgical managements.

Methods: Cases of pediatric lumbosacral (L5/S1 level) spondylolysis and spondylolisthesis were reviewed. Lumbar Japanese Orthopedics Association (JOA) score, health related quality of life (HRQOL) which was assessed, spondylolisthesis, lumbosacral disc degenerative, and dysplastic features were included for evaluation of outcomes after surgery. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.101DOI Listing
May 2020
2.417 Impact Factor

40% reoperation rate in adolescents with spondylolisthesis.

Spine Deform 2020 May 6. Epub 2020 May 6.

Children's Orthopaedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #69, Los Angeles, CA, 90027, USA.

Study Design: Multicenter retrospective.

Objective: To determine the long-term complication rate associated with surgical treatment of spondylolisthesis in adolescents. There is limited information on the complication rate associated with posterior spinal fusion (PSF) of spondylolisthesis in the pediatric and adolescent population. Read More

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http://dx.doi.org/10.1007/s43390-020-00121-5DOI Listing

Iliocava junction to L4-L5 disc anatomical relationship in L5-S1 isthmic spondylolisthesis.

Orthop Traumatol Surg Res 2020 Apr 21. Epub 2020 Apr 21.

Rouen university hospital, Spine Unit, Department of orthopaedic surgery, 76000 Rouen, France.

Background: Anterior lumbar interbody fusion finds a place in L5-S1 isthmic spondylolisthesis (ISPL) treatment. Extension of this arthrodesis at L4-L5 level is sometimes required. Anterior approach of the L4L5 disc is considered difficult due to the anatomical relationship between the iliocava junction (ICJ) and the spine. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.02.013DOI Listing

Sacral insufficiency fractures after lumbosacral arthrodesis: salvage lumbopelvic fixation and a proposed management algorithm.

J Neurosurg Spine 2020 Mar 27:1-12. Epub 2020 Mar 27.

1Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia; and.

Objective: Sacral insufficiency fracture after lumbosacral (LS) arthrodesis is an uncommon complication. The objective of this study was to report the authors' operative experience managing this complication, review pertinent literature, and propose a treatment algorithm.

Methods: The authors analyzed consecutive adult patients treated at their institution from 2009 to 2018. Read More

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http://dx.doi.org/10.3171/2019.12.SPINE191148DOI Listing

Accuracy of cortical bone trajectory screw placement in midline lumbar fusion (MIDLF) with intraoperative cone beam navigation.

J Spine Surg 2019 Dec;5(4):443-450

Norton Leatherman Spine Center, Louisville, KY, USA.

Background: Cortical bone trajectory (CBT) screws have been recently described as a method of lumbosacral fixation. These screws are typically inserted under fluoroscopic guidance with a medial-to-lateral trajectory in the axial plane and a caudal-to-cephalad trajectory in the sagittal plane. In an effort to reduce surgeon radiation exposure and improve accuracy, CBT screws may be inserted under navigation with intraoperative cone beam computed tomography (CT). Read More

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http://dx.doi.org/10.21037/jss.2019.09.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6989933PMC
December 2019

Progressive double major scoliotic curve with concurrent lumbosacral spondylolisthesis in a skeletally immature patient with Marfan syndrome treated with anterior scoliosis correction.

Spine Deform 2020 02 24;8(1):139-146. Epub 2020 Jan 24.

Institute for Spine and Scoliosis, 3100 Princeton Pike, Lawrenceville, NJ, 08648, USA.

Study Design: Case report (review of patient records, imaging, and pulmonary function tests) and literature review.

Objectives: To describe the case of a skeletally immature patient with Marfan syndrome who underwent anterior scoliosis correction (ASC) and muscle-sparing posterior far lateral interbody fusion (FLIF) in a two-stage procedure to correct progressive severe double major scoliosis and spondylolisthesis. Patients with Marfan syndrome suffer from rapidly progressive scoliosis and spondylolisthesis. Read More

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http://dx.doi.org/10.1007/s43390-020-00031-6DOI Listing
February 2020

Traumatic bilateral L4-5 facet fracture dislocation: a case presentation with mechanism of injury.

BMC Musculoskelet Disord 2019 Nov 23;20(1):558. Epub 2019 Nov 23.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

Background: Traumatic bilateral locked facet joints at L4-5 level are a rare entity. A careful review only revealed four case reports. This case presented with an unusual mechanism of injury. Read More

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http://dx.doi.org/10.1186/s12891-019-2921-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875427PMC
November 2019
4 Reads

Lumbar spinal fusion of low-grade degenerative spondylolisthesis (Meyerding grade I and II): Do reduction and correction of the radiological sagittal parameters correlate with better clinical outcome?

Arch Orthop Trauma Surg 2019 Nov 16. Epub 2019 Nov 16.

Department of Orthopedics and Trauma Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.

Introduction: Lumbar and lumbosacral spinal fusion is an established procedure for the treatment of degenerative spondylolisthesis. However, the impact of reduction in the affected segment and of improvement in the radiological sagittal parameters on the clinical outcome remains unclear. Purpose of the study is to analyze the correlation between the radiological sagittal parameters and clinical outcome after lumbar spinal fusion in low-grade degenerative spondylolisthesis. Read More

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http://dx.doi.org/10.1007/s00402-019-03282-9DOI Listing
November 2019

Comparative Sacral Morphology in Spondylolisthesis Patients.

Spine Deform 2019 11;7(6):945-949

Department of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA; Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.

Study Design: Retrospective comparative case series.

Objectives: Evaluation of sacral morphology in spondylolisthesis patients compared with asymptomatic controls.

Summary Of Background Data: Patients with spondylolisthesis are known to differ from asymptomatic controls in sagittal plane anatomy, but few studies examine the coronal and axial plane differences in these cohorts. Read More

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http://dx.doi.org/10.1016/j.jspd.2019.03.008DOI Listing
November 2019

Surgical Outcome of Decompression and Fixation of Degenerative Lumbosacral Spondylolisthesis Surgery in Pakistani Population.

Cureus 2019 Aug 26;11(8):e5493. Epub 2019 Aug 26.

Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.

Background Spondylolisthesis is characterized by the slipping of one vertebra, compared with the underlying one, due to structural and degenerative changes. Its origin is multifactorial which includes disc degeneration, facet joint anatomic orientation, iliolumbar configuration, and ligament hyperlaxity. The most common operative treatment is decompression and may require an individualized surgical plan. Read More

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http://dx.doi.org/10.7759/cureus.5493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812935PMC
August 2019
1 Read

Classifications in Brief: The Spinal Deformity Study Group Classification of Lumbosacral Spondylolisthesis.

Clin Orthop Relat Res 2020 Mar;478(3):681-684

G. Camino Willhuber, G. Kido, Institute of Orthopedics "Carlos E. Ottolenghi" Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

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http://dx.doi.org/10.1097/CORR.0000000000001005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145059PMC
March 2020
1 Read

Early cephalad adjacent segment degeneration after posterior lumbar interbody fusion: a comparative study between cortical bone trajectory screw fixation and traditional trajectory screw fixation.

J Neurosurg Spine 2019 Oct;32(2):155-159

1Department of Orthopaedic Surgery, Japan Community Healthcare Organization Osaka Hospital, Osaka City, Osaka.

Objective: Cortical bone trajectory (CBT) screw insertion through a caudomedial starting point provides advantages in limiting dissection of the superior facet joints and reducing muscle dissection and the risk of superior-segment facet violation by the screw. These advantages of the cephalad CBT screw can result in lower rates of early cephalad adjacent segment degeneration (ASD) after posterior lumbar interbody fusion (PLIF) with CBT screw fixation (CBT-PLIF) than those after PLIF using traditional trajectory screw fixation (TT-PLIF). Here, the authors investigated early cephalad ASD after CBT-PLIF and compared these results with those after TT-PLIF. Read More

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http://dx.doi.org/10.3171/2019.8.SPINE19631DOI Listing
October 2019
1 Read

The correlation between sagittal spinopelvic alignment and degree of lumbar degenerative spondylolisthesis.

J Orthop Sci 2019 Nov 21;24(6):969-973. Epub 2019 Sep 21.

Department of Orthopedic Surgery, Integrated Health Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan.

Background: Recently, several authors reported that a high pelvic incidence (PI) might be a predisposing factor to the development of anterior slip in the vertebral body in degenerative spondylolisthesis (DS). The purpose of this study was to analyze patients with DS using a multiple linear regression model, in terms of the correlation between the sagittal spinopelvic parameters and the severity of slip in each lumbar spine, including both anterior and posterior directions.

Methods: Standing lateral radiographs were taken of 104 patients (59 women and 45 men) with lower back pain. Read More

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http://dx.doi.org/10.1016/j.jos.2019.08.021DOI Listing
November 2019
2 Reads

[Bruns Garland syndrome. Report of a case and differential diagnosis with cauda equina syndrome].

Acta Ortop Mex 2019 Jan-Feb;33(1):42-45

Escuela de Medicina del Instituto Tecnológico de Monterrey. Guadalajara, Jalisco, México.

Background: The Bruns Garland syndrome (diabetic amyotrophy) it is a very rare condition, with few cases reported in the literature. Clinical differentiation of diabetic amyotrophy or cauda equine syndrome may be difficult. The issue of misdiagnosis has been discussed as a reason for poor outcome after lumbar spine surgery. Read More

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November 2019
4 Reads

Modern Medical Consequences of the Ancient Evolution of a Long, Flexible Lumbar Spine.

J Am Osteopath Assoc 2019 Sep;119(9):622-630

Modern human bipedality is unique and requires lumbar lordosis, whereas chimpanzees, our closest relatives, have short lumbar spines rendering them incapable of lordosis. To facilitate lordosis, humans have longer lumbar spines, greater lumbosacral angle, dorsally wedged lumbar vertebral bodies, and lumbar zygapophyseal joints with both increasingly coronal orientation and further caudal interfacet distances. These features limit modern lower lumbar spine and lumbosacral joint ailments, albeit imperfectly. Read More

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http://dx.doi.org/10.7556/jaoa.2019.105DOI Listing
September 2019
5 Reads

Reduction in Narcotic Use After Lumbar Decompression and Fusion in Patients With Symptomatic Lumbar Stenosis or Spondylolisthesis.

Global Spine J 2019 Sep 27;9(6):598-606. Epub 2018 Nov 27.

University of Texas South Western Medical Center, Dallas, TX, USA.

Study Design: Retrospective cohort study.

Objectives: The purpose of this study is to assess change in opioid use before and after lumbar decompression and fusion surgery for patients with symptomatic lumbar stenosis or spondylolisthesis.

Methods: A large insurance database was queried for patients with symptomatic lumbar stenosis or spondylolisthesis undergoing index lumbar decompression and fusion procedures between 2007 and 2016. Read More

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http://dx.doi.org/10.1177/2192568218814235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6693064PMC
September 2019
3 Reads

The Deformity TLIF: Bilateral Facetectomy and Osteotomy Closure with a Hinged Table.

Iowa Orthop J 2019 ;39(1):81-84

Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN.

Background: Increasing emphasis has been placed on segmental lordosis correction, even in short segment constructs. However, the majority of reports on TLIF indicate that lordosis correction is modest at best. TLIF with bilateral facetecomy has been described with better lordosis correction, but is usually performed with the spine in extension throughout the case. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604555PMC
February 2020
3 Reads

[The conservative treat ment of patients with degenerative lumbar stenosis].

Zh Nevrol Psikhiatr Im S S Korsakova 2019 ;119(6):32-41

Pirogov National Research Medical University, Moscow, Russia.

Aim: To study factors affecting the course of lumbar stenosis (LS).

Material And Methods: In the course of a two-year prospective study, 68 patients with degenerative LS, aged from 51 to 88 years (mean age 66±15.4 years), 21 men and 47 women, were examined. Read More

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http://dx.doi.org/10.17116/jnevro201911906132DOI Listing
October 2019
4 Reads

[Effect of pre-existing adjacent segment degeneration on short-term effectiveness after lumbar fusion surgery].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Jul;33(7):837-844

Department of Orthopaedics, Peking University Third Hospital, Beijing, 100191, P.R.China.

Objective: To analyze the prospective effect of pre-existing spinal stenosis of adjacent segment on the short-term effectiveness after lumbar fusion surgery.

Methods: A prospective comparative study was conducted to divide 183 patients with L -S lumbar spinal stenosis who met the selection criteria between July 2015 and December 2017 into two groups according to the status of adjacent segment degeneration (ASD) judged by preoperative disc degeneration and spinal stenosis. There were 98 patients in group A (no degeneration of adjacent segments before operation) and 85 patients in group B (adjacent segments degenerated before operation). Read More

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http://dx.doi.org/10.7507/1002-1892.201903114DOI Listing
July 2019
5 Reads

Complications Associated With Minimally Invasive Anterior to the Psoas (ATP) Fusion of the Lumbosacral Spine.

Spine (Phila Pa 1976) 2019 Oct;44(19):E1122-E1129

Spine Fellowship Scholar of Boston University Medical Center, Mazandaran University of Medical Sciences, Sari, Iran.

Study Design: Retrospective cohort study.

Objectives: To analyze complications associated with minimally invasive anterolateral retroperitoneal antepsoas lumbosacral fusion (MIS-ATP).

Summary Of Background Data: MIS-ATP provides anterolateral access to the lumbar spine allowing for safe anterior lumbar interbody fusions between T12-S1. Read More

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http://Insights.ovid.com/crossref?an=00007632-201910010-0000
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http://dx.doi.org/10.1097/BRS.0000000000003071DOI Listing
October 2019
8 Reads
2.297 Impact Factor

Slippage reduction of lumbar spondylolisthesis using percutaneous pedicle screw with reduction fixation system after interbody fusion: A comparison with traditional open fusion and pedicle screw fixation.

J Clin Neurosci 2019 Sep 14;67:156-162. Epub 2019 Jun 14.

Department of Neurosurgery, Suwon Leon Wiltse Memorial Hospital, Suwon, Republic of Korea.

Reduction of the slipped vertebra as a part of surgical approach is still debatable. The author investigated the usefulness of percutaneous reduction fixation system for the treatment of lumbar spondylolisthesis via a comparison with traditional open pedicle screw fixation after posterior decompression and interbody fusion. This study included 65 patients with lumbar spondylolisthesis, who underwent either open transpedicular screw fixation (OTPSF) with posterior lumbar interbody fusion (PLIF) (OTPSF group, n = 33) or PPSF with reduction system (PPSFr group, n = 32) after PLIF. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.05.040DOI Listing
September 2019
7 Reads

Sacropelvic Fixation: A Comprehensive Review.

Spine Deform 2019 07;7(4):509-516

Department of Orthopaedic Surgery, Johns Hopkins Hospital, 1800 Orleans St, Baltimore, MD 21287, USA. Electronic address:

Sacropelvic fixation is indicated in various clinical settings, most notably long spinal arthrodesis, reduction of high-grade spondylolisthesis, and complex sacral fractures. The sacropelvis is characterized by complex regional anatomy and poor bone quality. These factors make achieving solid fusion across the lumbosacral junction challenging. Read More

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http://dx.doi.org/10.1016/j.jspd.2018.11.009DOI Listing
July 2019
6 Reads

[Lumbar synovial cysts: literature review and original long-term results after microsurgical resection].

Orthopade 2019 Oct;48(10):849-857

Wirbelsäulenorthopädie und Rekonstruktive Orthopädie, Sana Klinikum Offenbach, Offenbach, Deutschland.

Background: Intraspinal lumbar vertebral joint cysts are an unusual cause of nerve root compression symptoms and do not differ clinically from the symptoms of a herniated disc.

Pathogenesis: The cysts originate from the small vertebral joints and, depending on their size, compress the nerval structures. The affected vertebral joints typically show activated arthritic circumstances, which are associated with degenerative spondylolisthesis in about 50% of cases. Read More

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http://dx.doi.org/10.1007/s00132-019-03758-xDOI Listing
October 2019
3 Reads

Risk factors of instrumentation failure and pseudarthrosis after stand-alone L5-S1 anterior lumbar interbody fusion: a retrospective cohort study.

J Neurosurg Spine 2019 May 31;31(3):338-346. Epub 2019 May 31.

Department of Orthopaedic Surgery, Hôpital Henri Mondor, AP-HP, Université Paris Est Créteil (UPEC), Creteil, France

Objective: L5-S1 stand-alone anterior lumbar interbody fusion (ALIF) is a reliable technique to treat symptomatic degenerative disc disease but remains controversial for treatment of isthmic spondylolisthesis. In the present study the authors aimed to identify risk factors of instrumentation failure and pseudarthrosis after stand-alone L5-S1 ALIF and to evaluate whether instrumentation failure influenced the rate of fusion.

Methods: The study included 64 patients (22 [34. Read More

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http://dx.doi.org/10.3171/2019.3.SPINE181476DOI Listing
May 2019
22 Reads

Vacuum Facet Phenomenon in Computed Tomography Imaging: A Sign of Instability in Degenerative Spondylolisthesis?

World Neurosurg 2019 Sep 28;129:e393-e400. Epub 2019 May 28.

Department of Orthopaedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, China; Zhejiang Provincial Key Laboratory of Orthopaedics, Wenzhou, China. Electronic address:

Objective: The aim of the present study was to investigate the relationship between vacuum facet phenomena and lumbar instability in patients with degenerative spondylolisthesis (DS) in L4-L5.

Methods: Patients with L4-L5 DS who had both lumbosacral flexion-extension radiographs and computed tomography (CT) scans available for review from January 2016 to December 2017 were eligible for the present study. The dynamic motion index (DMI) of each patient was used to represent the percentage of slippage of L-L4 on the L5 vertebral disks on the flexion radiographs minus the percentage on the extension radiographs. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.05.163DOI Listing
September 2019
10 Reads

Clinical and radiological outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) compared with conventional posterior lumbar interbody fusion (PLIF): 1-year follow-up.

Neurosurg Rev 2019 Sep 29;42(3):753-761. Epub 2019 May 29.

Department of Orthopaedic Surgery, Parkweonwook Hospital, 4, Gwangan-ro, Suyeong-gu, Busan, 48298, South Korea.

This study retrospectively compared clinical and radiological outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) to those of conventional posterior lumbar interbody fusion (PLIF). Seventy-one ULIF (age, 68 ± 8 years) and 70 PLIF (66 ± 9 years) patients for one lumbosacral segment followed more than 1 year were selected. Parameters for surgical techniques (operation time, whether transfused), clinical results [visual analogue scale (VAS) for back and leg pain, Oswestry disability index (ODI)], surgical complications (dural tear, nerve root injury, infection), and radiological results (cage subsidence, screw loosening, fusion) between the two groups were compared. Read More

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http://dx.doi.org/10.1007/s10143-019-01114-3DOI Listing
September 2019
1 Read

Letter to the editor regarding "Is minimally invasive superior than open transforaminal lumbar interbody fusion for single-level degenerative lumbar diseases: a meta-analysis".

Authors:
Larry E Miller

J Orthop Surg Res 2019 05 29;14(1):164. Epub 2019 May 29.

Miller Scientific Consulting, Inc., 1854 Hendersonville Road, Asheville, NC, 28803, USA.

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http://dx.doi.org/10.1186/s13018-019-1196-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542003PMC
May 2019
1 Read

Establishment and Implementation of an Enhanced Recovery After Surgery (ERAS) Pathway Tailored for Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery.

World Neurosurg 2019 Sep 24;129:e317-e323. Epub 2019 May 24.

Department of Orthopedics, Xinqiao Hospital, Third Military Medical University, Chongqing, People's Republic of China. Electronic address:

Purpose: The concept of enhanced recovery after surgery (ERAS) spread to different surgical specialties to minimize surgical stress response and to reduce length of hospital stay (LOS) and cost. Recently, several studies have reported experience with the ERAS program for spine surgery. The aim of this study is to introduce the establishment and implementation of the ERAS pathway for minimally invasive surgery (MIS) transforaminal lumbar interbody fusion (TLIF). Read More

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http://dx.doi.org/10.1016/j.wneu.2019.05.139DOI Listing
September 2019
3 Reads

Predictors of loss of follow-up in a prospective registry: which patients drop out 12 months after lumbar spine surgery?

Spine J 2019 10 21;19(10):1672-1679. Epub 2019 May 21.

Department of Neurosurgery, Bergman Clinics Amsterdam, Rijksweg 69, 1411 GE, Naarden, The Netherlands; Department of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, University of Zurich, Frauenklinikstrasse 10, CH-8091, Zurich, Switzerland. Electronic address:

Background Context: Long-term patient-reported outcomes (PROMs) are essential in clinical practice and research. Prospective trials and registries often struggle with high rates of loss of follow-up (LOFU), which may bias their findings. Little is known on risk factors for PROM nonresponse, especially for digitally mailed questionnaires. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.05.007DOI Listing
October 2019
1 Read

Sagittal reconstruction of lumbosacral contiguous double-level spondylolytic spondylolisthesis: a comparison of double-level and single-level transforaminal lumbar interbody fusion.

J Orthop Surg Res 2019 May 23;14(1):148. Epub 2019 May 23.

Department of Spine Surgery, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Zhongshan Road 321, Nanjing, 210008, China.

Background: Contiguous double-level lumbar spondylolytic spondylolisthesis is an extremely rare condition. There is a paucity of data of lumbosacral deformity and sagittal spino-pelvic malalignment among these patients. Moreover, the effect of transforaminal lumbar interbody fusion (TLIF) on sagittal realignment still remains largely unknown. Read More

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http://dx.doi.org/10.1186/s13018-019-1197-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6533736PMC
May 2019
6 Reads

Summary of Guidelines for the Treatment of Lumbar Spondylolisthesis.

Neurosurg Clin N Am 2019 Jul;30(3):353-364

Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue M779, San Francisco, CA 94143, USA.

Degenerative lumbar spondylolisthesis is a common cause of low back pain, affecting about 11.5% of the United States population. Patients with symptomatic lumbar spondylolisthesis may first be treated with conservative management strategies including, but not limited to, non-narcotic and narcotic pain medications, epidural steroid injections, transforaminal injections, and physical therapy. Read More

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http://dx.doi.org/10.1016/j.nec.2019.02.009DOI Listing
July 2019
8 Reads

Degenerative Lumbar Spondylolisthesis: Definition, Natural History, Conservative Management, and Surgical Treatment.

Neurosurg Clin N Am 2019 Jul;30(3):299-304

Department of Neurosurgery, Mayo Clinic Neuro-Informatics Lab, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Degenerative lumbar spondylolisthesis is one of the most common causes of low back pain and is defined as displacement of one vertebra over subjacent vertebra, associated with degenerative changes, without an associated disruption or defect in the vertebral ring. Undersetanding natural history of degenerative spondylolisthesis is important to tailor an individualized management plan for each patient. A trial of conservative therapy may be considered for patients with low-grade spondylolisthesis presenting with radiculopathy and/or pseudoclaudication. Read More

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http://dx.doi.org/10.1016/j.nec.2019.02.003DOI Listing
July 2019
5 Reads

High-Grade Lumbar Spondylolisthesis.

Neurosurg Clin N Am 2019 Jul;30(3):291-298

Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address:

Most high-grade spondylolistheses are resultant from isthmic spondylolisthesis, as complete discontinuity of the pars is typically necessary to allow for this degree of anterior vertebral translation, although can occur less commonly in other scenarios. Higher-grade slips can affect the global sagittal balance of the patient and often result in altered gait patterns and compensatory posturing. Management usually entails surgical decompression and fusion with instrumentation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10423680193001
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http://dx.doi.org/10.1016/j.nec.2019.02.002DOI Listing
July 2019
10 Reads

Isthmic Lumbar Spondylolisthesis.

Neurosurg Clin N Am 2019 Jul 19;30(3):283-290. Epub 2019 Apr 19.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Orthopaedic Spine Center, 55 Fruit Street, Yawkey Building, Suite 3A, Boston, MA 02114, USA. Electronic address:

Lumbar isthmic spondylolisthesis is the anterior translation of one lumbar vertebra relative to the next caudal segment as a result of an abnormality in the pars interarticularis. Although it is most often an asymptomatic radiographic finding, symptomatic patients may present with low back and/or radicular leg pain. In the setting of persistent symptoms, despite nonoperative treatment, surgery can be considered. Read More

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http://dx.doi.org/10.1016/j.nec.2019.02.001DOI Listing
July 2019
5 Reads

Do Curve Characteristics Influence Stenosis Location and Occurrence of Radicular Pain in Adult Degenerative Scoliosis?

Spine Deform 2019 05;7(3):472-480

Orthopedic Surgery Department, Hôpital Européen Georges-Pompidou, APHP, Paris V University, 20 rue Leblanc, 75908 Paris, Cedex 15, France.

Study Design: Retrospective cohort.

Objective: The aim of this study was to describe the various locations of spinal stenosis (LSS) in lumbar scoliosis and its related clinical symptoms.

Introduction: Adults with lumbar scoliosis often present with pain and disability. Read More

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http://dx.doi.org/10.1016/j.jspd.2018.09.010DOI Listing
May 2019
10 Reads

EFFECTS OF SAGITTAL BALANCE DIFFERENCES ON SPONDYLOLISTHESIS.

Acta Ortop Bras 2019 Mar-Apr;27(2):120-123

Abant Izzet Baysal University, Medical School, Department of Neurosurgery, Bolu, Turkey.

Objectives: This study aimed to compare the lumbar lordosis (LL) and spinopelvic parameters of patients with stage 1-2 spondylolisthesis to those of the normal population and demonstrate the importance of these parameters in sagittal balance.

Methods: The lumbosacral parameters on the lateral radiographs of a total of 125 patients were retrospectively compared. Lumbosacral parameters including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis angle (LLA), L5 incidence (L5I), L5 slope (L5S), and sacral table angle (STA) were compared between groups. Read More

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http://dx.doi.org/10.1590/1413-785220192702205665DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442710PMC
April 2019
16 Reads

Accuracy of Robot-Assisted Percutaneous Pedicle Screw Placement for Treatment of Lumbar Spondylolisthesis: A Comparative Cohort Study.

Med Sci Monit 2019 Apr 4;25:2479-2487. Epub 2019 Apr 4.

Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland).

BACKGROUND With the in-depth development of minimally invasive spine surgery in recent years, robot- and computer-assisted technologies have been increasingly used and successfully applied to spinal surgery. MATERIAL AND METHODS We performed a retrospective analysis of 60 patients with grade I or II lumbar spondylolisthesis who underwent minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) from January 2017 to December 2017. A robot-assisted surgical system was used in 30 patients for pedicle screw placement. Read More

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http://dx.doi.org/10.12659/MSM.913124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462172PMC
April 2019
7 Reads

Second Sacral Alar Screw Fixation: Anatomic Study of Three-Dimensional Computed Tomography and Case Report.

World Neurosurg 2019 Jun 28;126:e1542-e1548. Epub 2019 Mar 28.

Department of Orthopedics, FuJian Provincial Hospital, Fu Zhou, China.

Objective: S2 alar screw would be an alternative choice without breaking the sacroiliac joint. The aim of this study was to measure radiographic parameters for optimal placement of posterior S2 alar screw for instrumentation and fusion.

Methods: Three-dimensional computed tomography scans of the pelvis of 60 normal adults were used to map the S2 alar screw. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.191DOI Listing
June 2019
5 Reads

[Comparison of sagittal plane morphology of spine and pelvis in adolescents with L₅S₁ developmental spondylolisthesis and isthmic spondylolisthesis].

Zhongguo Gu Shang 2019 Mar;32(3):234-238

Department of Spinal Surgery, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China;

Objective: To compare the sagittal morphological features of the spine and pelvis between L₅S₁ dysplastic spondylolisthesis and isthmus spondylolisthesis in adolescent.

Methods: Retrospective analysis of 24 cases of adolescent L₅S₁ spondylolisthesis with complete imaging data from May 2002 to December 2016. Those included 8 males and 16 females, aged from 10 to 18 years old with an average of (13. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.03.008DOI Listing
March 2019
12 Reads

Risk Factors for Early Recurrence After Transforaminal Endoscopic Lumbar Disc Decompression.

Pain Physician 2019 03;22(2):E133-E138

Daegu Wooridul Spine Hospital, Jung-Gu, Daegu, Republic of Korea.

Background: Transforaminal endoscopic lumbar disc decompression (TELD) has emerged as a treatment alternative to open lumbar discectomy, but rates of herniated lumbar disc (HLD) recurrence after TELD are higher by comparison.

Objectives: We conducted this study to identify factors correlating with early HLD recurrence after TELD.

Study Design: Retrospective study. Read More

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March 2019
8 Reads

Criteria for surgical reduction in high-grade lumbosacral spondylolisthesis based on quality of life measures.

Eur Spine J 2019 Sep 26;28(9):2060-2069. Epub 2019 Mar 26.

University of Montreal, Montreal, Canada.

Purpose: Although surgical reduction in high-grade lumbosacral spondylolisthesis is often performed in young patients, criteria for defining adequate reduction leading to optimal outcomes have yet to be defined. The purpose of this study is to determine if surgical reduction in pelvic balance, slip grade, lumbosacral angle and L5 incidence are associated with quality of life after surgery, based on specific criteria proposed previously in the literature.

Methods: A prospective cohort of 61 patients (14. Read More

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http://dx.doi.org/10.1007/s00586-019-05954-xDOI Listing
September 2019
6 Reads

A Rare Case of Traumatic Lateral Translationof Lumbosacral Spine with Nerve Root Avulsion.

J Orthop Case Rep 2018 Nov-Dec;8(6):31-33

Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Introduction: Traumatic lumbar spondylolisthesis, though a rare lesion, is frequently noted in patients with multiple traumatic injuries sustained in a high-velocity trauma like a road traffic accident.

Case Report: Here, we report a case of traumatic Biplanar translational injury at L5-S1 level with neurological deficit in a 22-year male with motor vehicle accident. Open reduction, decompression, and fusion with rigid fixation were achieved and spine alignment was restored, but the neurological recovery remained uncertain. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1244DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424328PMC
March 2019
6 Reads

Predictors of Clinical Outcome After Endoscopic Partial Facetectomy for Degenerative Lumbar Foraminal Stenosis.

World Neurosurg 2019 Jun 21;126:e1482-e1488. Epub 2019 Mar 21.

Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea. Electronic address:

Objective: Endoscopic partial facetectomy (EPF) is an effective option for decompressing the lumbar exiting root without causing spinal instabilities in the treatment of patients with degenerative lumbar foraminal stenosis. The aim of the present study was to identify the preoperative risk factors of poor clinical outcomes after EPF in patients with degenerative lumbar foraminal stenosis.

Methods: A total of 51 consecutive patients who had undergone EPF from 2012 to 2015 were included in the present study. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.126DOI Listing
June 2019
18 Reads

Management of Infected Transforaminal Lumbar Interbody Fusion Cage in Posterior Degenerative Lumbar Spine Surgery.

World Neurosurg 2019 Jun 26;126:e330-e341. Epub 2019 Feb 26.

Department of Orthopaedic surgery, Taichung Branch of Buddhist Tzu-Chi General Hospital, Taichung City, Taiwan. Electronic address:

Background: The postoperative infection rates for transforaminal lumbar interbody fusion (TLIF) have ranged from <2% to 4%. However, no consensus has been reached on the treatment strategies. TLIF cage preservation or revision surgery for lumbar spine reconstruction are 2 possible treatments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193046
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http://dx.doi.org/10.1016/j.wneu.2019.02.050DOI Listing
June 2019
11 Reads

Characteristics of Spinopelvic Sagittal Alignment in Lumbar Degenerative Disease.

World Neurosurg 2019 Jun 26;126:e417-e421. Epub 2019 Feb 26.

Spine Surgery Service, National Institute of Rehabilitation, México City, México.

Background: Normal sagittal alignment shows a range of variations and normal values. This study compared sagittal vertebral alignment in patients with different degenerative lumbar diseases.

Methods: This cross-sectional study evaluated 300 patients who were enrolled between June 2016 and June 2017. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.067DOI Listing
June 2019
11 Reads
2.417 Impact Factor