1,027 results match your criteria Lumbosacral Spondylolisthesis

Direct reduction of high-grade lumbosacral spondylolisthesis with anterior cantilever technique - surgical technique note and preliminary results.

BMC Musculoskelet Disord 2021 Jun 18;22(1):559. Epub 2021 Jun 18.

Department of Orthopaedic Surgery, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung, 40705, Taiwan.

Backgrounds: Surgical reduction for high-grade spondylolisthesis is beneficial for restoring sagittal balance and improving the biomechanical environment for arthrodesis. Compared to posterior total laminectomy and long instrumentation, anterior lumbar inter-body fusion (ALIF) is less invasive and has the biomechanical advantage of restoring the original disk height and increasing lumbar lordosis, thus improving sagittal balance. However, the application of ALIF is still limited in treating low-grade spondylolisthesis. Read More

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The new imaging findings: "Passing spine" without kissing.

Medicine (Baltimore) 2021 Jun;100(22):e26191

Laboratory of Statistics, Graduate School of Medicine, Osaka City University, Osaka, Japan.

Abstract: Case-control studies by examining the lumbar spine computed tomography (CT) findings focusing on the spinous processes."Passing spine" was defined as a lumbar degenerative change observed on CT images. In contrast, kissing spine, which is also an image finding, has been acknowledged as an established clinical condition. Read More

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Association between lumbosacral transitional vertebrae and spinal pathologies based on T2 whole-spine sagittal magnetic resonance imaging.

Skeletal Radiol 2021 May 30. Epub 2021 May 30.

Department of Orthopedic Surgery and the Spine Unit, Shamir (Assaf Harofeh) Medical Center, 70300, Zerifin, Israel.

Purpose: To assess the association between 4, 5, or 6 lumbar spine vertebrae and the presence of lumbar spinal pathologies.

Methods: We reviewed all MRI reports and images performed between August 1st, 2018 and July 31st, 2019. Lumbar spine pathologies such as disc herniation, lytic spondylolisthesis, and spinal stenosis were recorded. Read More

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Lumbosacral Spondylolysis and Spondylolisthesis.

Clin Sports Med 2021 Jul;40(3):471-490

Department of Orthopaedic Surgery, University of Virginia, PO Box 800159, Charlottesville, VA 22908, USA. Electronic address:

Repetitive stress on the lumbosacral spine during sporting activity places the athletic patient at risk of developing symptomatic pars defect. Clinical history, physical examination, and diagnostic imaging are important to distinguish spondylolysis from other causes of lower back pain. Early pars stress reaction can be identified with advanced imaging, before the development of cortical fracture or vertebral slip progression to spondylolisthesis. Read More

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Familial development of lumbar spondylolysis: a familial case report of 7- and 4-year-old brothers and their father.

J Int Med Res 2021 May;49(5):3000605211015559

Department of Orthopaedic Surgery, 183174Fukushima Medical University School of Medicine, Fukushima City, Fukushima, Japan.

The incidence of lumbar spondylolysis is affected by sex, race, and congenital abnormalities. These differences suggest a genetic component to the etiology of spondylolysis. However, no definitive evidence has been presented regarding the inheritance of lumbar spondylolysis. Read More

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Delayed Treatment of a Traumatic Lumbosacral Dislocation With Associated Injuries: A Case Report.

JBJS Case Connect 2021 04 19;11(2). Epub 2021 Apr 19.

Department of Surgery, Sir H.N. Reliance Foundation Hospital, Girgaon, Mumbai, India.

Case: A 41-year-old woman sustained a degloving injury over her lumbosacral and perineal region with fractures of her right tibia and fibula. After diversion colostomy and osteosynthesis for the fractures at a primary center, a missed grade 2 lumbosacral dislocation was diagnosed at a tertiary center and the degloving injury was treated with debridement and skin grafting. After 5 months, the dislocation had progressed to grade 4 and she underwent delayed posterior lumbosacral reduction, interbody fusion, and L4-S1 fixation, with superior gluteal artery perforator flap and subsequent colostomy closure, with good outcomes (Oswestry Disability Index 10%) at the 3-year follow-up. Read More

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Biomechanical comparison of 3 types of transdiscal fixation implants for fixing high-grade L5/S1 spine spondylolisthesis.

Spine J 2021 Apr 30. Epub 2021 Apr 30.

London Health Science Centre, Victoria Hospital, London, N6A 5W9, Canada; Dept. of Surgery (Div. of Orthopaedic Surgery), Western University, London, N6A 3K7, Canada.

Background Context: There are several options for the stabilization of high-grade lumbosacral spondylolisthesis including transdiscal screws, the Bohlman technique (transdiscal fibular strut) and the modified Bohlman technique (transdiscal titanium mesh cage). The choice of an optimum construct remains controversial; therefore, we endeavoured to study and compare the biomechanical performance of these 3 techniques.

Purpose: The aim of this study was to compare 3 types of transdiscal fixation biomechanically in an in vitro porcine lumbar-sacral spine model. Read More

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Association of Lumbar Paraspinal Muscle Morphometry with Degenerative Spondylolisthesis.

Int J Environ Res Public Health 2021 04 12;18(8). Epub 2021 Apr 12.

Department of Physical Medicine & Rehabilitation, College of Medicine, Kyung Hee University, Seoul 02447, Korea.

The objective of this study was to assess the cross-sectional areas (CSA) of lumbar paraspinal muscles and their fatty degeneration in adults with degenerative lumbar spondylolisthesis (DLS) diagnosed with chronic radiculopathy, compare them with those of the same age- and sex-related groups with radiculopathy, and evaluate their correlations and the changes observed on magnetic resonance imaging (MRI). This retrospective study included 62 female patients aged 65-85 years, who were diagnosed with lumbar polyradiculopathy. The patients were divided into two groups: 30 patients with spondylolisthesis and 32 patients without spondylolisthesis. Read More

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Traumatic Bilateral L3-4 Facet Dislocation With Open Decompression and Short Segment Fusion.

Int J Spine Surg 2021 Feb 18;14(s4):S21-S25. Epub 2021 Jan 18.

Department of Orthopaedics & Rehabilitation, University of Rochester Medical Center, Rochester, New York.

Traumatic lumbar facet dislocations are exceedingly rare, with reported cases primarily involving the lumbosacral junction. This injury arises from very high flexion distraction forces imparted on the lumbar spine. Herein we describe a bilateral L3-4 facet dislocation, a particularly rare injury pattern, using a short-segment posterior decompression and fusion followed by an interbody fusion through a lateral approach. Read More

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February 2021

Understanding the Future Prospects of Synergizing Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery with Ceramics and Regenerative Cellular Therapies.

Int J Mol Sci 2021 Mar 31;22(7). Epub 2021 Mar 31.

Department of Surgery, Division of Neurosurgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan.

Transforaminal lumber interbody fusion (TLIF) is the last resort to address the lumber degenerative disorders such as spondylolisthesis, causing lower back pain. The current surgical intervention for these abnormalities includes open TLIF. However, in recent years, minimally invasive TLIF (MIS-TLIF) has gained a high momentum, as it could minimize the risk of infection, blood loss, and post-operative complications pertaining to fusion surgery. Read More

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Clinical Comparison of Combined Cortical Bone Trajectory and Transarticular Surface Screw Versus Standard Pedicle Screw Insertion by Wiltse Approach for L5 Isthmic Spondylolisthesis.

Clin Spine Surg 2021 Mar 24. Epub 2021 Mar 24.

Department of Orthopedic Surgery, Osaka City University Graduate School of Medicine, Osaka Department of Orthopedic Surgery, Shimada Hospital, Habikino, Osaka Prefecture, Japan.

Study Design: This was a retrospective cohort study.

Objective: The objective of this study was to assess the effectiveness and invasiveness of a combined screw insertion technique [using cortical bone trajectory (CBT) screw and transarticular surface screw (TASS)] for patients with L5 isthmic spondylolisthesis.

Summary Of Background Data: Lumbosacral posterior fixation using TASS is safe, with high biomechanical strength. Read More

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Traumatic Spondylolisthesis of the Fourth Lumbar Vertebra Without Neurologic Deficit or Fracture of the Posterior Elements.

Cureus 2021 Feb 9;13(2):e13238. Epub 2021 Feb 9.

Orthopedics, General Hospital of Patras, Patras, GRC.

Acute traumatic spondylolisthesis in the lumbosacral spine is an uncommon injury. Traumatic dislocation of the fourth lumbar vertebra over the fifth lumbar vertebra (L4/L5) is extremely rare since few studies have been reported in the current literature. We report on a 53-year-old man, who had a motor vehicle accident and sustained an injury of the lumbar spine without neurological impairment. Read More

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February 2021

Acquired Lumbosacral Spinal Dural Arteriovenous Fistula in Association with Degenerative Lumbosacral Disc Herniation and Spinal Canal Stenosis: Report of Two Cases and Review of the Literature.

Asian J Neurosurg 2020 Oct-Dec;15(4):1059-1067. Epub 2020 Oct 19.

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

The authors describe two cases harboring lumbosacral spinal dural arteriovenous fistulas (SDAVFs) manifested with nonspecific initial symptoms, leading to misdiagnosis and unnecessary procedures. A curvilinear flow void in the lumbar region and thoracic cord congestion with subtle perimedullary flow voids were detected on magnetic resonance imaging (MRI) in both patients. Contrast-enhanced magnetic resonance angiography and spinal angiography confirmed the SDAVFs in the lower lumbar and sacral region. Read More

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October 2020

Health-related quality of life and sagittal balance at two to 25 years after posterior transfixation for high-grade dysplastic spondylolisthesis.

Bone Jt Open 2021 Mar;2(3):163-173

Scottish National Spine Deformity Service, Royal Hospital for Sick Children, Edinburgh, UK.

Aims: High-grade dysplastic spondylolisthesis is a disabling disorder for which many different operative techniques have been described. The aim of this study is to evaluate Scoliosis Research Society 22-item (SRS-22r) scores, global balance, and regional spino-pelvic alignment from two to 25 years after surgery for high-grade dysplastic spondylolisthesis using an all-posterior partial reduction, transfixation technique.

Methods: SRS-22r and full-spine lateral radiographs were collected for the 28 young patients (age 13. Read More

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Posterior fixation can further improve the segmental alignment of lumbar degenerative spondylolisthesis with oblique lumbar interbody fusion.

BMC Musculoskelet Disord 2021 Feb 23;22(1):218. Epub 2021 Feb 23.

Department of Spine Surgery, Beijing Jishuitan Hospital, No. 31, Xinjiekou East Street, Xicheng District, Beijing, 100035, People's Republic of China.

Background: For patients with degenerative spondylolisthesis, whether additional posterior fixation can further improve segmental alignment is unknown, compared with stand-alone cage insertion in oblique lumbar interbody fusion (OLIF) procedure. The aim of this study was to compare changes of the radiographical segmental alignment following stand-alone cage insertion and additional posterior fixation in the same procedure setting of OLIF for patients with degenerative spondylolisthesis.

Methods: A retrospective observational study. Read More

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February 2021

Efficacy and safety of minimally invasive axial presacral L5-S1 interbody fusion in the treatment of lumbosacral spine pathology: a retrospective clinical and radiographic analysis.

Acta Biomed 2020 12 30;91(14-S):e2020035. Epub 2020 Dec 30.

Orthopedic Department, University of Sassari.

Background The surgical treatment of degenerative disc disease L5-S1 is considerably controversial. The purpose of this study was to evaluate the radiographic and clinical results of patients treated with AxiaLif® Technique (AxiaLif®, AMSGroup, Italy) using a minimally invasive pre-sacral approach. Methods From 2013 to 2018 a total of 52 patients have been treated (12 M, 40 F; mean age 46. Read More

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December 2020

Spontaneous intracranial hypotension and lumbosacral spondylolisthesis-case report of a rare association.

Clin Neurol Neurosurg 2021 Mar 20;202:106511. Epub 2021 Jan 20.

Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 11, India. Electronic address:

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Retrospective radiographic analysis of anterior lumbar fusion for high grade lumbar spondylolisthesis.

J Spine Surg 2020 Dec;6(4):650-658

Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ, USA.

Background: High-grade spondylolisthesis (>50% slippage) is infrequently encountered in adults and frequently requires surgical treatment. The optimal surgical treatment is controversial with limited literature guidance as to optimal approach to treatment. An observational study to examine the technique and radiographic outcomes of adult patients treated with anterior lumbar interbody fusion (ALIF) and posterior percutaneous instrumentation for high-grade spondylolisthesis. Read More

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December 2020

Lateral lumbar interbody fusion after reduction using the percutaneous pedicle screw system in the lateral position for Meyerding grade II spondylolisthesis: a preliminary report of a new lumbar reconstruction strategy.

BMC Musculoskelet Disord 2021 Jan 5;22(1):17. Epub 2021 Jan 5.

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

Background: Utilization of a cage with a large footprint in lateral lumbar interbody fusion (LLIF) for the treatment of spondylolisthesis leads to a high fusion rate and neurological improvement owing to the indirect decompression effect and excellent alignment correction. However, if an interbody space is too narrow for insertion of an LLIF cage for cases of spondylolisthesis of Meyerding grade II or higher, LLIF cannot be used. Therefore, we developed a novel strategy, LLIF after reduction by the percutaneous pedicle screw (PPS) insertion system in the lateral position (LIFARL), for surgeons to perform accurate and safe LLIF with PPS in patients with such pathology. Read More

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January 2021

Reduction of spondylolisthesis and sagittal balance correction by anterior lumbar interbody fusion (ALIF).

Int Orthop 2021 04 4;45(4):997-1001. Epub 2021 Jan 4.

Department of Radiology and Medical Imaging, University of Medicine and Pharmacy "Victor Babes", Timișoara, Romania.

Purpose: Long time recognized as a cause of lumbar stenosis, degenerative spondylolisthesis has an evolution in interrelation with sagittal balance. This study aimed to assess the role of ALIF in correcting the sagittal balance in patients with degenerative spondylolisthesis.

Material And Methods: Twenty patients aged between 47 and 70 years were operated between July 2011 and September 2014 for degenerative spondylolisthesis by ALIF. Read More

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Pedicular lumbosacral spine fusion for adult/adolescent lumbar developmental high-grade spondylolisthesis.

Surg Neurol Int 2020 4;11:416. Epub 2020 Dec 4.

Department of Neurosurgery, Faculty of Medicine, Benha University, Benha, Al Qalubia, Egypt.

Background: Few series report on the management of high-grade spondylolisthesis (HGS) in adolescents and young adults. This review highlights a series of six consecutive cases with developmental (dysplastic) HGS successfully managed with L3 or L4 to S1 transpedicular screw placement, rather than /noninstrumented lumbosacral fusion.

Methods: The six patients with HGS, according to the Meyerding Grading, presented with low back pain and bilateral sciatica (2016-2020). Read More

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December 2020

Magnetic Resonance Evaluation of Lumbar Disc Degenerative Disease as an Implication of Low Back Pain: A Prospective Analysis.

Reddy Ravikanth

Neurol India 2020 Nov-Dec;68(6):1378-1384

Department of Radiology, Holy Family Hospital, Thodupuzha, Kerala, India.

Background: The main objectives of this study are MR characterization of disc degeneration and sequelae, analysis of lumbar disc degeneration patterns in patients with low back pain, and evaluation of the extent of involvement. This unique study evaluates the number of discs involved and the Modic changes at prolapsed, degenerated nonprolapsed, and at nondegenerated, nonprolapsed levels.

Study Design: A prospective, magnetic resonance imaging-based radiological study. Read More

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Assessment of disability levels in patients with low back pain based on the type of lumbar spinal disorder.

J Back Musculoskelet Rehabil 2021 ;34(1):131-137

Occupational Medicine Department, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Background: Low back pain (LBP) is a common health condition and the leading cause of activity limitation and absenteeism in most parts of the world. One-fifth of patients with LBP develop chronic pain disability.

Objective: This study investigated the disability levels in patients with different types of lumbar spinal disorders. Read More

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Risk factors for adjacent segment degeneration after posterior lumbar fusion surgery in treatment for degenerative lumbar disorders: a meta-analysis.

J Orthop Surg Res 2020 Dec 3;15(1):582. Epub 2020 Dec 3.

Department of Spinal Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.

Study Design: A meta-analysis.

Objective: We performed a meta-analysis to explore the incidence and risk factors of adjacent segment degeneration (ASD) after posterior lumbar fusion surgery.

Methods: An extensive search of the literature was performed in English database of PubMed, Embase, and Cochrane Library, and Chinese database of CNKI and WANFANG (up to May 2020). Read More

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December 2020

Does the Surgical Reduction of High Grade Spondylolisthesis Restore Spino-Pelvic Alignment? An Analysis of 35 Patients.

Asian Spine J 2020 Nov 16. Epub 2020 Nov 16.

Spinal Disorder Surgery Unit, Department of Orthopaedics, Christian Medical College & Hospital, Vellore, India.

Study Design: Retrospective case series.

Purpose: This study aimed to analyze how the sagittal spinopelvic alignment is influenced by an attempted surgical reduction of the L5-S1 segment in patients with high-grade spondylolisthesis (HGS).

Overview Of Literature: Conventional treatment strategies stress the importance of achieving fusion across the lumbosacral junction in patients with HGS. Read More

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November 2020

Fracture-dislocation of L5 Combined with Multi-level Traumatic Spondylolisthesis of the Lower Lumbar Spine Treated via the Posterior-only Approach: A Case Report.

Korean J Neurotrauma 2020 Oct 23;16(2):313-319. Epub 2020 Sep 23.

Department of Neurosurgery, Yeungnam University Hospital, Yeungnam University College of Medicine, Daegu, Korea.

Fracture-dislocation of the lower lumbar spine, which is commonly caused by high-impact trauma and can lead to instability in the spine, is relatively rare. Surgical treatment is indicated to restore spinal balance, weight-bearing ability, and decompression of the neural elements. There are various available surgical options, including the posterior-only or anterior-only approaches, or a combination of them. Read More

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October 2020

A Comprehensive Review of Over the Counter Treatment for Chronic Low Back Pain.

Pain Ther 2021 Jun 4;10(1):69-80. Epub 2020 Nov 4.

Valley Anesthesiology and Pain Consultants-Envision Physician Services, Phoenix, AZ, USA.

Purpose Of The Review: Chronic low back pain (CLBP) is a major contributor to societal disease burden and years lived with disability. Nonspecific low back pain (LBP) is attributed to physical and psychosocial factors, including lifestyle factors, obesity, and depression. Mechanical low back pain occurs related to repeated trauma to or overuse of the spine, intervertebral disks, and surrounding tissues. Read More

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Complications associated with L4-5 anterior retroperitoneal trans-psoas interbody fusion: a single institution series.

J Spine Surg 2020 Sep;6(3):562-571

Department of Neurosurgery, Houston Methodist Neurological Institute, Houston, TX, USA.

Background: Lateral lumbar interbody fusion (LLIF), first described in the literature in 2006 by Ozgur ., involves direct access to the lateral disc space via a retroperitoneal trans-psoas tubular approach. Neuromonitoring is vital during this approach since the surgical corridor traverses the psoas muscle where the lumbar plexus lies, risking injury to the lumbosacral plexus that could result in sensory or motor deficits. Read More

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September 2020

Inclusion of L5-S1 in oblique lumbar interbody fusion-techniques and early complications-a single center experience.

Spine J 2021 03 20;21(3):418-429. Epub 2020 Oct 20.

Surgery Service, Department of Veterans Affairs, 3200 Vine Street, Cincinnati, OH 45220, USA.

Background Context: The oblique prepsoas retroperitoneal approach to the lumbar spine for interbody fusion or oblique lumbar interbody fusion (OLIF) provides safe access to nearly all lumbar levels. A wide interval between the psoas and aorta allows for a safe and straightforward left-sided oblique approach to the discs above L5. Inclusion of L5-S1 in this approach, however, requires modifications in the technique to navigate the complex and variable vascular anatomy distal to the bifurcation of the great vessels. Read More

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