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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

J Neurosurg Spine 2019 Feb 22:1-5. Epub 2019 Feb 22.

OBJECTIVEThe aim of this study was to evaluate the effect of lumbar sacralization on the level of vertebral slip and disc degeneration in patients with L4 spondylolysis.METHODSThe authors analyzed data from 102 cases in which patients underwent surgical treatment for L4 spondylolysis and spondylolisthesis at their institution between March 2007 and September 2016. Lumbar sacralization was characterized by the presence of pseudarthrosis and/or bony fusion between the L5 transverse process and sacrum, and the type of lumbosacral transitional vertebra (LSTV) was evaluated with the Castellvi classification. Read More

Neurosurg Focus 2019 Jan;46(1):E9

OBJECTIVEBoth spontaneous and iatrogenic spondylodiscitis are becoming ever more frequent, yet there are no definite treatment guidelines. For many years the treatment protocol was conservative medical management or surgical debridement with patients immobilized or bedridden for weeks and often resulting in spinal deformity. The eventual development of spinal deformity can be difficult to treat. Read More

Biomed Res Int 2018 19;2018:5806037. Epub 2018 Nov 19.

Department of Orthopaedics, The Second Affiliated Xinqiao Hospital of Army Medical University, Chongqing 400037, China.

Objective: Endoscopic surgeries have been attempted in the field of lumbar decompression and fusion surgery in the past decade. Percutaneous endoscopic lumbar interbody fusion (PELIF) is a new-emerging technique taking advantages of an anatomical (Kambin's triangle) to achieve simultaneous decompression and fusion under endoscopic visualization. The purpose of this study is to evaluate the feasibility and safety of PELIF technique with general anesthesia and neuromonitoring. Read More

Rev Assoc Med Bras (1992) 2018 Dec;64(12):1147-1153

Professor - Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Objective: The surgical management of high-grade lumbar spondylolisthesis (HGLS) is complex and aims to achieve both a solid fusion that is able to support the high shear forces of the lumbosacral junction, as well as neural decompression. We performed a systematic literature review of the safety and efficacy of posterior transdiscal (PTD) screw fixation from L5S1 for HGLS and its variations.

Methods: A systematic literature review following the PRISMA guidelines was performed in the PubMed database of the studies describing the use of PTD screw fixation for HGLS. Read More

World Neurosurg 2019 Feb 1;122:e790-e794. Epub 2018 Nov 1.

Department of Neurosurgery, Harvard Medical School, Boston, Massachusetts, USA. Electronic address:

Objective: Lumbar spondylolisthesis can be related to facet arthropathy and disc degeneration or to a fracture of the pars interarticularis, but the mechanistic underpinnings of spondylolisthesis remain unclear. We posit that high sacral slope and body weight increase sacral inclination vector forces, which leads to pars fractures and exacerbates risk for spondylolisthesis.

Methods: To investigate this hypothesis, we measured the sacral slope, body weight, and S1 endplate vector forces for patients who underwent L5-S1 fusion for grade I spondylolisthesis. Read More

World Neurosurg 2019 Feb 12;122:469-473. Epub 2018 Oct 12.

Department of Neurosurgery, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea. Electronic address:

Objective: We sought to describe a novel technique in managing a patient with adjacent segment disease at the L5/S1 level.

Methods: We performed an endoscope-assisted anterior lumbar interbody fusion with computed tomography-guided, image-navigated unilateral cortical bone trajectory screw fixation to treat L5/S1 intervertebral disk pathology.

Results: Patient was successfully treated by a direct endoscopic decompression through the anterior access, interbody fusion using an anterior lumbar interbody fusion cage, unilateral cortical bone trajectory instrumentation under computed tomography-guided image navigation. Read More

World Neurosurg 2019 Jan 29;121:e554-e565. Epub 2018 Sep 29.

Department of Pharmacology, Jessenius Faculty of Medicine, Comenius University, Martin, Slovakia.

Objective: In lumbar degenerative spondylolisthesis (DSL), the criteria and extent of surgical treatment have not been strictly defined owing to the adjacent segment disease theory and unclear molecular pathogenesis. The present study analyzed the clinical and radiographic findings of patients after lower lumbar fusion surgery with single and 2-level DSL and explored the inflammatory mediator's role in DSL evolution and symptoms.

Methods: The prospective follow-up of patients with DSL, stratified by the stabilization extent (L4-L5, L5-S1, and L4-S1), included the Back Illness Pain and Disability 9-item questionnaire and native and dynamic radiographs to evaluate the intervertebral disc height and adjacent segments' angular motion. Read More

Global Spine J 2018 Aug 16;8(5):460-470. Epub 2017 Nov 16.

Spine Service, Department of Orthopaedic Surgery, St. George & Sutherland Clinical School, University of New South Wales Australia, Kogarah, Sydney NSW, Australia.

Study Design: A biomechanical study using finite element analysis.

Objectives: The main objective of this study was to investigate the role of sacral slope in the progression of a L5 bilateral spondylolytic defect to spondylolisthesis.

Methods: A 3-dimensional model of lumbosacral spine was built using computed tomography (CT) data procured from an anonymized healthy male subject. Read More

J Clin Neurosci 2018 Nov 25;57:79-85. Epub 2018 Aug 25.

Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Posterior lumbar interbody fusion with cortical bone trajectory (CBT-PLIF) is a form of minimally invasive decompression and fusion, whereas microendoscopic laminotomy (MEL) is a form of minimally invasive decompression surgery. No study has compared the clinical outcomes of the two methods for patients who have degenerative spondylolisthesis (DS) with instability. In this study, CBT-PLIF and MEL were both offered to 64 patients who met the inclusion criteria. Read More

Biomed Res Int 2018 27;2018:7406797. Epub 2018 Jun 27.

Bioanthropology and Paleopathology Lab, Department of Anatomy, Seoul National University College of Medicine, No. 103, Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.

Paleopathological evidence for congenital and degenerative disorders of the lumbosacral vertebrae is informative about ancient individual lifeways and physical conditions. However, very few studies have focused on the paleopathology of the lumbosacral vertebrae in ancient skeletal series from East Asia. One reason for the lack of studies is that skeletal samples from East Asia are typically insufficient in size to represent populations for comparative studies within the continent. Read More

Orthopedics 2018 Sep 16;41(5):e655-e662. Epub 2018 Jul 16.

Fusion outcomes and costs of stand-alone anterior lumbar interbody fusion (ALIF), transforaminal lumbar interbody fusion (TLIF) in association with posterior fusion, and anterior/posterior (A/P) fusion were compared using clinical, radiographic, and billing data. Adult patients with symptomatic 1- or 2-level degenerative disk disease in isolation or in association with a grade 1 or 2 degenerative or lytic spondylolisthesis and canal and/or foraminal stenosis who underwent elective stand-alone ALIF, TLIF, or A/P fusion were compared. The analysis focused primarily on fusion rates and costs and secondarily on radiographic and clinical parameters. Read More

Neurosurg Clin N Am 2018 Jul;29(3):375-387

Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55454, USA; Department of Neurosurgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55454, USA. Electronic address:

High-grade dysplastic spondylolisthesis (HGDS) is a subset of L5-S1 spondylolisthesis that occurs due to dysmorphic anatomy at the lumbosacral junction, often resulting in sagittal imbalance. Enhanced understanding of global sagittal alignment has led many to preferentially treat HGDS with reduction and fusion to restore sagittal balance. The purpose of this article is to review published surgical techniques for obtaining sagittal correction in HGDS and to evaluate the current evidence regarding the associated surgical complications. Read More

Neurosurg Clin N Am 2018 Jul;29(3):331-339

Neurosurgery, UCSF Spine Center, 400 Parnassus Avenue, San Francisco, CA 94143, USA. Electronic address:

Alignment of the lumbar spine has an important impact on the segmental motion, degenerative pathology, and health-related quality of life. The relationship between lumbar lordosis and pelvic incidence is predictive in the pathogenesis of spinal disorders, including disk degeneration, spondylolisthesis, and adjacent segment degeneration. This article reviews the relationship between lumbar and pelvic alignment with pathology of the lumbar spine, provides goals for appropriate alignment in reconstructive surgery, and discusses strategies for effective realignment of the spine. Read More

J Pediatr Orthop 2018 Sep;38(8):e455-e461

Departments of Pediatrics.

Background: We studied the prevalence and treatment outcomes of spondylolisthesis in patients with Loeys-Dietz syndrome (LDS).

Methods: Clinical data and lumbosacral imaging of 138 patients with LDS were reviewed. Spondylolisthesis (L4-L5 or L5-S1) and spondylolysis were characterized by multimodal imaging and correlated with clinical data. Read More

Pediatr Neurosurg 2018 30;53(4):263-269. Epub 2018 May 30.

Department of Neurosurgery, School of Medicine, University of São Paulo, São Paulo, Brazil.

A 4-year-old girl was admitted to the emergency department after having been buried beneath a wall. A computed tomography scan revealed anterior grade V L5-S1 spondylolisthesis, and magnetic resonance imaging showed a traumatic rupture of the fibrous annulus of the L5-S1 intervertebral disc and lesion of the anterior longitudinal and yellow ligaments. The patient underwent anterior and posterior fixation. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 11;31(11):1354-1357

Department of Orthopedics, the Artificial Joint Engineering Technology Research Center of Jiangxi Province, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006,

Objective: To study the relationship between sagittal facet joint and degenerative lumber spondylolisthesis (DLS) by observing the changes of the lumbar facet joint angle.

Methods: Fifty-seven patients with DLS who met the inclusion criteria between January 2013 and February 2016 were collected (DLS group). There were 26 males and 31 females, with the mean age of 54. Read More

Spine J 2018 08 7;18(8):1441-1454. Epub 2018 May 7.

Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USA; Montefiore Medical Center, 3400 Bainbridge Ave, 6th Fl, Bronx, NY 10467-2404, USA. Electronic address:

Background Context: A variety of surgical methods are available for the treatment of adult isthmic spondylolisthesis, but there is no consensus regarding their relative effects on clinical outcomes.

Purpose: To compare the effects of different surgical techniques on clinical outcomes in adult isthmic spondylolisthesis.

Design: A systematic review was carried out. Read More

BMC Musculoskelet Disord 2018 04 2;19(1):98. Epub 2018 Apr 2.

Spine Service, Department of Orthopaedic Surgery, St. George & Sutherland Clinical School, University of New South Wales Australia, Kogarah, Sydney, NSW, 2217, Australia.

Background: Spondylolytic (or lytic) spondylolisthesis is often associated with disc degeneration at the index-level; however, it is not clear if disc degeneration is the cause or the consequence of lytic spondylolisthesis. The main objective of this computed tomography based finite element modelling study was to examine the role of different grades of disc degeneration in the progression of a bilateral L5-lytic defect to spondylolisthesis.

Methods: High-resolution computed tomography data of the lumbosacral spine from an anonymised healthy male subject (26 years old) were segmented to build a 3D-computational model of an INTACT L1-S1 spine. Read More

Br J Neurosurg 2018 Oct 22;32(5):474-478. Epub 2018 Mar 22.

a The Centre for Spinal Studies and Surgery , Queens Medical Centre , Nottingham , UK.

Objective: 360 degrees in-situ fusion for high-grade spondylolisthesis showed satisfying clinical long-term results. Combining anterior with posterior surgery increases fusion rates. Anteriorly inserted transvertebral HMA screws could be an alternative to strut graft constructs or cages, avoiding donor site complications. Read More

World Neurosurg 2018 Jun 7;114:e293-e300. Epub 2018 Mar 7.

Department of Spine Surgery, Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China. Electronic address:

Background: Clinical and radiographic degenerative spondylolisthesis (CARDS) classification defines a distinct subset of patients with kyphotic angulation at the involved segment (type D). Research using CARDS classification to investigate motion characteristics at involved segments or patient-related outcomes (PROs) following surgical intervention is sparse. We investigated the relationship between CARDS type D spondylolisthesis and dynamic instability and PROs in type D versus non-type D spondylolisthesis. Read More

Spine Deform 2018 Mar - Apr;6(2):185-188. Epub 2017 Oct 16.

University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3017, Kansas City, KS 66160-7387, USA.

Study Design: Structured literature review.

Objectives: The Scoliosis Research Society (SRS) requested an assessment of the current state of peer-reviewed evidence regarding pediatric lumbar spondylolisthesis with the goal of identifying what is known and what gaps remain in further understanding the diagnostic methods for pediatric spondylolisthesis.

Summary Of Background Data: Spondylolisthesis in the lumbar spine is common among children and adolescents and no formal synthesis of the published literature regarding diagnostic methods has been previously performed. Read More

Br J Neurosurg 2018 Feb 6;32(1):28-31. Epub 2018 Feb 6.

a The Centre for Spinal Studies and Surgery , Queens Medical Centre, Nottingham University Hospitals NHS Trust , Nottingham , UK.

Background: Stand-alone anterior interbody fusion (STALIF) with poly-ether-ether-ketone (PEEK) cages could offer a treatment option in olisthesis cases. The fixation of the PEEK-cage at the L5/S1 inferior endplate with long divergent screws however might endanger neural sacral structures, especially the S1 nerve root. If shorter screws are used, the achieved bony purchase might not be sufficient to resist the pull out and shear forces at the lumbosacral junction. Read More

J Neurosurg Spine 2018 04 26;28(4):357-363. Epub 2018 Jan 26.

2Research Department, Greg Malham Neurosurgeon, Melbourne, Victoria, Australia.

OBJECTIVE Image guidance for spine surgery has been reported to improve the accuracy of pedicle screw placement and reduce revision rates and radiation exposure. Current navigation and robot-assisted techniques for percutaneous screws rely on bone-anchored trackers and Kirchner wires (K-wires). There is a paucity of published data regarding the placement of image-guided percutaneous screws without K-wires. Read More

Turk Neurosurg 2018 ;28(6):904-909

Namık Kemal University, School of Medicine, Department of Neurosurgery, Tekirdag, Turkey.

Aim: To determine whether the washing of implants and autogenous bone grafts with rifampicin, and the irrigation of the surgical field using diluted rifampicin, have any significant effect on the prevention of spinal implant infections.

Material And Methods: A total of 166 consecutive lumbar stenosis and spondylolisthesis patients undergoing lumbar instrumentation between 2012 and 2016 were analyzed retrospectively. The patients were divided into two groups. Read More

Spine J 2018 08 31;18(8):1417-1423. Epub 2018 Jan 31.

Department of Orthopedic Surgery, Clinique médico-chirurgicale des Massues, 92 Rue Edmond Locard, 69005 Lyon, France.

Background: In high-grade spondylolisthesis (HGSPL), the pelvic incidence (PI) is not a reliable measurement because of doming of the sacrum. Measurement of L5 incidence (L5I) was described as a tool to measure pelvic morphology in HGSPL and for surgical follow-up.

Objective: We aimed to evaluate L5I in HGSPL and its relationship to other spinopelvic parameters. Read More

World Neurosurg 2018 Apr 31;112:e473-e478. Epub 2018 Jan 31.

Orthopedic Surgery, Osaka Rosai Hospital, Osaka, Japan.

Background: Posterior lumbar interbody fusion (PLIF) has become a general surgical method for degenerative lumbar diseases. Although many reports have focused on single-level PLIF, few have focused on 2-level PLIF, and no report has covered the fusion status of 2-level PLIF. The purpose of this study is to investigate clinical outcomes and fusion for 2-level PLIF by using a combination of dynamic radiographs and multiplanar-reconstruction computed tomography scans. Read More

J Athl Train 2018 Feb 19;53(2):168-173. Epub 2018 Jan 19.

Cayuga Medical Center, Ithaca, NY.

Objective:   To describe the conservative management of a young athlete with extension-based (EB) low back pain (LBP).

Background:   We present the case of a 15-year-old female high school gymnast with a 4-year history of EB LBP. Magnetic resonance imaging revealed a healed spondylolysis and significant atrophy with fatty infiltrate of the lumbar multifidi muscles (LMM). Read More

Acta Orthop Belg 2016 Dec;82(4):730-736

The clinical efficacy of reduction and fusion surgery and the suitable range of fusion-segment were evaluated in 12 pediatric patients treated for high-grade spondylolisthesis. Pre/post-operative clinical and radiological assessments were analyzed. A transient L5 nerve root paralysis was observed in one patient with L5 spondylolisthesis. Read More

Eur Spine J 2018 01 20;27(1):240-241. Epub 2017 Oct 20.

Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.

World Neurosurg 2018 02 12;110:129-132. Epub 2017 Oct 12.

Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Background: Spondyloptosis is grade V on the Meyerding classification. Traumatic spondyloptosis can occur throughout the spinal column, particularly at junctional levels, and finding an ideal surgical strategy to address it remains a challenge for spinal surgeons. The sacrum is considered a united bone in adults, and sacral intersegmental spondyloptosis is extremely rare. Read More

Eur Spine J 2018 01 13;27(1):239. Epub 2017 Oct 13.

Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, Changchunjie 45#, Xicheng District, Beijing, 100053, China.

PM R 2018 May 6;10(5):501-506. Epub 2017 Oct 6.

Department of Physiatry, Hospital for Special Surgery, New York, NY.

Background: Spondylolysis with and without anterolisthesis is the most common cause of structural back pain in children and adolescents, but few predictive factors have been confirmed. An association between abnormal sacropelvic orientation and both spondylolysis and spondylolisthesis has been supported in the literature. Sacral slope and other sacropelvic measurements are easily accessible variables that could aid clinicians in assessing active adolescents with low back pain, particularly when the diagnosis of spondylolysis is suspected. Read More

Eur Spine J 2018 05 23;27(5):1058-1066. Epub 2017 Sep 23.

Service of Pediatric Orthopaedics, Department of Child and Adolescent, University Hospitals of Geneva, 6 Rue Willy Donzé, 1211, Geneva 14, Switzerland.

Purpose: The accurate diagnosis of spondylolysis is widely made with CT scan considered as the gold standard. However, CT represents significant radiation exposure particularly substantial in a young and sometimes still growing population. Although the role of MRI in identifying edema/inflammation within the pars as an active lesion is proved, its ability to demonstrate and classify pars fracture line as same as CT is still controversial. Read More

Clin Spine Surg 2017 Oct;30(8):E1117-E1121

Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, Marcoleta, Santiago, Chile.

Study Design: Cross-sectional study.

Objective: To compare the prevalence of lumbar spondylolysis and spina bifida occulta (SBO) in pediatric and adult populations.

Summary Of Background Data: The prevalence of spondylolysis reported from radiograph-based studies in children had been questioned in computed tomography (CT)-based studies in adults; however, a recent CT-based study in pediatric patients has confirmed the previously reported data in pediatric populations. Read More

Spine J 2018 05 21;18(5):726-733. Epub 2017 Sep 21.

Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.

Background Context: Previous studies have shown that axial loading during magnetic resonance imaging (MRI) significantly reduces the size of the dural sac compared with conventional MRI in patients with degenerative lumbar disease. In our previous study, axial-loaded MRI showed a significantly larger degree of olisthesis than conventional MRI in patients with degenerative spondylolisthesis (DS). Furthermore, the degree of olisthesis on axial-loaded MRI correlated more strongly with that observed on X-ray in the upright position. Read More

Zhonghua Wai Ke Za Zhi 2017 Jul;55(7):543-548

Department of Spinal Surgery, Beijing Jishuitan Hospital, Fourth Medical College of Peking University, Beijing 100035, China.

To compare the clinical effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion (TLIF) and traditional open TLIF in the treatment of lumbar spondylolisthesis. A total of 41 patients with lumbar spondylolisthesis accepted surgical treatment in Department of Spinal Surgery of Beijing Jishuitan Hospital From July 2015 to April 2016 were retrospectively analyzed. There were 16 cases accepted robot-assisted minimally invasive TLIF and 25 accepted traditional open TLIF. Read More

Spine J 2017 11 21;17(11):1712-1721. Epub 2017 Jun 21.

Department of Neurosurgery, Maastricht University Medical Center, PO box 5800, 6202 AZ, Maastricht, The Netherlands; CAPHRI School for Public Health and Primary Care, Maastricht University, PO box 616, 6200 MD, Maastricht, The Netherlands; Department of Neurosurgery, Zuyderland Medical Center, PO box 4446, 6401 CX, Heerlen, The Netherlands.

Background Context: Transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) are both frequently used as a surgical treatment for lumbar spondylolisthesis. Because of the unilateral transforaminal route to the intervertebral space used in TLIF, as opposed to the bilateral route used in PLIF, TLIF could be associated with fewer complications, shorter duration of surgery, and less blood loss, whereas the effectiveness of both techniques on back or leg pain is equal.

Purpose: The objective of this study was to compare the effectiveness of both TLIF and PLIF in reducing disability, and to compare the intra- and postoperative complications of both techniques in patients with lumbar spondylolisthesis. Read More

Instr Course Lect 2017 Feb;66:403-408

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

Low back pain is the most common complaint expressed by adult patients in the primary care setting, and the incidence of low back pain in adolescents is rising. Adolescents who are involved in athletics most commonly suffer from spondylolysis, spondylolisthesis, mechanical low back pain, and herniated disks, whereas adult athletes most commonly suffer from lumbosacral strain and herniated or degenerative disks. Initial nonsurgical management aims to reduce inflammation and noninvasively strengthen damaged tissues. Read More

J Am Acad Orthop Surg 2017 Jul;25(7):489-498

From the Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.

Lumbar disk herniation, degenerative disk disease, and spondylolysis are the most prevalent lumbar conditions that result in missed playing time. Lumbar disk herniation has a good prognosis. After recovery from injury, professional athletes return to play 82% of the time. Read More

Neurosurg Focus 2017 May;42(5):E12

Department of Neurosurgery, Bergman Clinics, Naarden, The Netherlands; and.

OBJECTIVE The accuracy of robot-guided pedicle screw placement has been proven to be high, but little is known about the impact of such guidance on clinical outcomes such as the rate of revision surgeries for screw malposition. In addition, there are very few data about the impact of robot-guided fusion on patient-reported outcomes (PROs). Thus, the clinical benefit for the patient is unclear. Read More

Clin Spine Surg 2017 05;30(4):E363-E369

*Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA †Department of Neurosurgery, Rush School of Medicine, Chicago, IL ‡Department of Neurosurgery, University of Virginia, Charlottesville, VA §Department of Neurosurgery, University of Michigan, Ann Arbor, MI.

Objective: A retrospective review of the clinical and radiographic outcomes from a multicenter study of surgical treatment for high-grade spondylolisthesis (HGS) in adults. The objective was to assess the safety of surgical reduction, its ability to correct regional deformity, and its clinical effectiveness.

Methods: Retrospective, multicenter review of adults (age above 18 y) with lumbosacral HGS (Meyerding grade 3-5) treated surgically with open decompression, attempted reduction, posterior instrumentation, and interbody fusion. Read More

Spine J 2017 08 14;17(8):1127-1133. Epub 2017 Apr 14.

Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, China.. Electronic address:

Background Context: Laminectomy with posterior lumbar interbody fusion (PLIF) has been shown to achieve satisfactory clinical outcomes, but it leads to potential adverse consequences associated with extensive disruption of posterior bony and soft tissue structures.

Purpose: This study aimed to compare the clinical and radiographic outcomes of bilateral decompression via a unilateral approach (BDUA) with transforaminal lumbar interbody fusion (TLIF) and laminectomy with PLIF in the treatment of degenerative lumbar spondylolisthesis (DLS) with stenosis.

Study Design: This is a prospective cohort study. Read More

Spine J 2017 08 12;17(8):1082-1090. Epub 2017 Apr 12.

Department of Orthopedics, Taipei Medical University Hospital, No. 252, Wu-Hsing St, Taipei 11031, Taiwan; Department of Orthopaedics, School of Medicine, College of Medicine, Taipei Medical University, No. 250, Wu-Hsing St., Taipei 11031, Taiwan. Electronic address:

Background Context: To date, the surgical approaches for the treatment of lumbar spondylolisthesis by transforaminal lumbar interbody fusion (TLIF) using minimally invasive spine surgery assisted with intraoperative computed tomography image-integrated navigation (MISS-iCT), fluoroscopy (MISS-FS), and conventional open surgery (OS) are debatable.

Purpose: This study compared TLIF using MISS-iCT, MISS-FS, and OS for treatment of one-level lumbar spondylolisthesis.

Study Design: This is a prospective, registry-based cohort study that compared surgical approaches for patients who underwent surgical treatment for one-level lumbar spondylolisthesis. Read More

Eur Spine J 2017 12 7;26(12):3082-3083. Epub 2017 Apr 7.

Spine Care Group, Head Spine Surgery III, Scoliosis Department, IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi, 20161, Milan, Italy.

Orthopedics 2017 May 31;40(3):e520-e525. Epub 2017 Mar 31.

Concomitant spine and hip disease in patients undergoing total hip arthroplasty (THA) presents a management challenge. Degenerative lumbar spine conditions are known to decrease lumbar lordosis and limit lumbar flexion and extension, leading to altered pelvic mechanics and increased demand for hip motion. In this study, the effect of lumbar spine disease on complications after primary THA was assessed. Read More

Eur Spine J 2017 05 29;26(Suppl 1):186-191. Epub 2017 Mar 29.

Department of Orthopedic Surgery, Spine Health Wooridul Hospital, 47-4 Chungdam-dong Gangnam-gu, Seoul, 06068, Korea.

Purpose: Baastrup's disease is characterized by degeneration of spinous processes and interspinous soft tissue, which may cause spinal stenosis. Purpose of this article is to report the possible new cause of Baastrup's disease and result of surgical treatments.

Methods: Authors treated three cases of Baastrup's disease on L4-L5 with L5-S1 spondylolytic listhesis. Read More

Zhonghua Wai Ke Za Zhi 2017 Apr;55(4):279-284

Department of Spine Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China.

To evaluate the clinical effectiveness of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for single-level lumbar spondylolisthesis treatment with bilateral Spotlight tubular channels. A total of 21 patients with lumbar spondylolisthesis whom underwent MIS-TLIF via bilateral Spotlight tubular channels were retrospectively analyzed from October 2014 to November 2015. The 21 patients included 11 males and 10 females ranged from 35 to 82 years (average aged 60. Read More

Zhonghua Yi Xue Za Zhi 2017 Mar;97(11):852-856

Department of Spine Surgery, Changzheng Hospital, the Second Military Medical University, Shanghai 200433, China.

To define a novel disease-lumbosacral nerve bowstring disease, and propose the diagnostic criteria, while capsule surgery was performed and evaluated in the preliminary study. From June 2016 to December 2016, a total of 30 patients (22 male and 8 female; mean age of 55.1±9. Read More

Clin Neurol Neurosurg 2017 May 27;156:29-34. Epub 2017 Feb 27.

Department of Orthopaedic Surgery, University of California, San Francisco, CA, USA.

Objective: A potential long-term complication of lumbar fusion is the development of adjacent segment disease (ASD), which may necessitate second surgery and adversely affect outcomes. The objective of this is to determine the incidence of ASD following instrumented fusion in adult patients with lumbar spondylolisthesis and to identify the risk factors for this complication.

Patients And Methods: We retrospectively assessed adult patients who had undergone decompression and instrumented fusion for lumbar spondylolisthesis between January 2006 and December 2012. Read More