783 results match your criteria Lumbosacral Spondylolysis


Single-approach vertebral osteosynthesis in the treatment of spinal osteolysis by spondylodiscitis.

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

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http://dx.doi.org/10.3171/2018.10.FOCUS18442DOI Listing
January 2019
1 Read

Degenerative Lumbar Spondylolisthesis: Biochemical Aspects and Evaluation of Stabilization Surgery Extent in Terms of Adjacent Segment Disease Theory.

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

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http://dx.doi.org/10.1016/j.wneu.2018.09.163DOI Listing
January 2019
4 Reads

The Role of Sacral Slope in the Progression of a Bilateral Spondylolytic Defect at L5 to Spondylolisthesis: A Biomechanical Investigation Using Finite Element Analysis.

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

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http://journals.sagepub.com/doi/10.1177/2192568217735802
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http://dx.doi.org/10.1177/2192568217735802DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149045PMC
August 2018
3 Reads

Comparison of minimally invasive decompression and combined minimally invasive decompression and fusion in patients with degenerative spondylolisthesis with instability.

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

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http://dx.doi.org/10.1016/j.jocn.2018.08.032DOI Listing
November 2018
2 Reads

Lumbosacral Defects in a 16th-18th-Century Joseon Dynasty Skeletal Series from Korea.

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

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http://dx.doi.org/10.1155/2018/7406797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040263PMC
January 2019
9 Reads

Stand-alone Anterior Lumbar Interbody, Transforaminal Lumbar Interbody, and Anterior/Posterior Fusion: Analysis of Fusion Outcomes and Costs.

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

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http://dx.doi.org/10.3928/01477447-20180711-06DOI Listing
September 2018
9 Reads

The Challenge of Creating Lordosis in High-Grade Dysplastic Spondylolisthesis.

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

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http://dx.doi.org/10.1016/j.nec.2018.03.006DOI Listing
July 2018
3 Reads

Sagittal Alignment of the Lumbar Spine.

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

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http://dx.doi.org/10.1016/j.nec.2018.03.009DOI Listing
July 2018
2 Reads

Spondylolisthesis is Common, Early, and Severe in Loeys-Dietz Syndrome.

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

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http://dx.doi.org/10.1097/BPO.0000000000001203DOI Listing
September 2018
5 Reads

Traumatic Lumbosacral Spondyloptosis in a Pediatric Patient: Case Report and Literature Review.

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

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http://dx.doi.org/10.1159/000488766DOI Listing
September 2018
8 Reads

[Correlation study between sagittal lumbar facet joint and degenerative lumbar spondylolisthesis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Nov;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

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http://dx.doi.org/10.7507/1002-1892.201705051DOI Listing
November 2017
4 Reads

Mild (not severe) disc degeneration is implicated in the progression of bilateral L5 spondylolysis to spondylolisthesis.

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

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http://dx.doi.org/10.1186/s12891-018-2011-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879802PMC
April 2018
3 Reads

Hollow modular anchorage (HMA) screws for anterior transvertebral fixation in high-grade spondylolisthesis cases requiring 360 degrees in-situ fusion.

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

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http://dx.doi.org/10.1080/02688697.2018.1451822DOI Listing
October 2018
7 Reads

Higher Improvement in Patient-Reported Outcomes Can Be Achieved After Transforaminal Lumbar Interbody Fusion for Clinical and Radiographic Degenerative Spondylolisthesis Classification Type D Degenerative Lumbar Spondylolisthesis.

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

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http://dx.doi.org/10.1016/j.wneu.2018.02.175DOI Listing
June 2018
8 Reads

Current Evidence Regarding the Diagnostic Methods for Pediatric Lumbar Spondylolisthesis: A Report From the Scoliosis Research Society Evidence Based Medicine Committee.

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

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http://dx.doi.org/10.1016/j.jspd.2017.08.010DOI Listing
December 2018
15 Reads

The safe use of long screws in L5/S1 stand-alone anterior interbody fusion for olisthesis cases.

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

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http://dx.doi.org/10.1080/02688697.2018.1432750DOI Listing
February 2018
5 Reads

Is Implant Washing and Wound Irrigation with Rifampicin Effective for Preventing Surgical Site Infections in Lumbar Instrumentation?

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

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http://dx.doi.org/10.5137/1019-5149.JTN.21341-17.2DOI Listing
January 2019
6 Reads

Fusion Rate and Clinical Outcomes in Two-Level Posterior Lumbar Interbody Fusion.

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

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http://dx.doi.org/10.1016/j.wneu.2018.01.062DOI Listing
April 2018
5 Reads

Rehabilitation of a Young Athlete With Extension-Based Low Back Pain Addressing Motor-Control Impairments and Central Sensitization.

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

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http://natajournals.org/doi/10.4085/1062-6050-238-16
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http://dx.doi.org/10.4085/1062-6050-238-16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842907PMC
February 2018
9 Reads

Fusion-segment of high-grade Lumbar Spondylolisthesis: 2-year follow-up.

Authors:
X Li L Xu Q Kong

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

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December 2016
6 Reads

Spontaneous Fusion of S2/S3 Spondyloptosis in an Adult.

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

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https://linkinghub.elsevier.com/retrieve/pii/S18788750173172
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http://dx.doi.org/10.1016/j.wneu.2017.10.001DOI Listing
February 2018
15 Reads

Letter to the Editor concerning ''Radiographic evaluation of indirect decompression of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lateral interbody fusion for degenerated lumbar spondylolisthesis'' by Jun Sato et al. Eur Spine J (2017) 26: 671-678.

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.

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http://dx.doi.org/10.1007/s00586-017-5319-9DOI Listing
January 2018
9 Reads

The Relationship Between Sacral Slope and Symptomatic Isthmic Spondylolysis in a Cohort of High School Athletes: A Retrospective Analysis.

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

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http://dx.doi.org/10.1016/j.pmrj.2017.09.012DOI Listing
May 2018
48 Reads

Diagnostic accuracy of MR imaging for direct visualization of lumbar pars defect in children and young adults: a systematic review and meta-analysis.

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

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http://dx.doi.org/10.1007/s00586-017-5305-2DOI Listing
May 2018
27 Reads

Does the Prevalence of Spondylolysis and Spina Bifida Occulta Observed in Pediatric Patients Remain Stable in Adults?

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

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http://dx.doi.org/10.1097/BSD.0000000000000209DOI Listing
October 2017
29 Reads

An increase in the degree of olisthesis during axial loading reduces the dural sac size and worsens clinical symptoms in patients with degenerative spondylolisthesis.

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

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http://dx.doi.org/10.1016/j.spinee.2017.08.251DOI Listing
May 2018
7 Reads

[Effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion and traditional open surgery in the treatment of lumbar spondylolisthesis].

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

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2017.07.013DOI Listing
July 2017
23 Reads

Transforaminal lumbar interbody fusion (TLIF) versus posterior lumbar interbody fusion (PLIF) in lumbar spondylolisthesis: a systematic review and meta-analysis.

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

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http://dx.doi.org/10.1016/j.spinee.2017.06.018DOI Listing
November 2017
33 Reads

Lumbar Spine Injuries in the Athlete.

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

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February 2017
25 Reads

Management of Lumbar Conditions in the Elite Athlete.

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

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http://Insights.ovid.com/crossref?an=00124635-201707000-0000
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http://dx.doi.org/10.5435/JAAOS-D-16-00135DOI Listing
July 2017
33 Reads

Revisions for screw malposition and clinical outcomes after robot-guided lumbar fusion for spondylolisthesis.

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

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http://dx.doi.org/10.3171/2017.3.FOCUS16534DOI Listing
May 2017
29 Reads

A Multicenter Evaluation of Clinical and Radiographic Outcomes Following High-grade Spondylolisthesis Reduction and Fusion.

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

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http://dx.doi.org/10.1097/BSD.0000000000000218DOI Listing
May 2017
14 Reads

Clinical and radiographic outcomes of bilateral decompression via a unilateral approach with transforaminal lumbar interbody fusion for degenerative lumbar spondylolisthesis with stenosis.

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

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http://dx.doi.org/10.1016/j.spinee.2017.04.011DOI Listing
August 2017
15 Reads

Comparison of minimally invasive spine surgery using intraoperative computed tomography integrated navigation, fluoroscopy, and conventional open surgery for lumbar spondylolisthesis: a prospective registry-based cohort study.

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

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http://dx.doi.org/10.1016/j.spinee.2017.04.002DOI Listing
August 2017
9 Reads

Expert's comment concerning Grand Rounds case entitled "Circumferential fusion for degenerative lumbar spondylolisthesis complicated by distal junctional grade 4 spondylolisthesis in the sub-acute post-operative setting" by Alexander A. Theologis et al. (Eur Spine J; 2017. doi:10.1007/s00586-017-4976-z).

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.

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http://dx.doi.org/10.1007/s00586-017-5057-zDOI Listing
December 2017
5 Reads

The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.

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

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http://dx.doi.org/10.3928/01477447-20170327-03DOI Listing
May 2017
13 Reads

Three cases of L4-5 Baastrup's disease due to L5-S1 spondylolytic spondylolisthesis.

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

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http://dx.doi.org/10.1007/s00586-017-5014-xDOI Listing
May 2017
23 Reads

[Clinical outcomes of single-level lumbar spondylolisthesis by minimally invasive transforaminal lumbar interbody fusion with bilateral tubular channels].

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

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2017.04.009DOI Listing
April 2017
9 Reads

[Lumbosacral nerve bowstring disease].

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

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2017.11.012DOI Listing
March 2017
4 Reads

Adjacent segment disease after instrumented fusion for adult lumbar spondylolisthesis: Incidence and risk factors.

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

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http://dx.doi.org/10.1016/j.clineuro.2017.02.020DOI Listing
May 2017
11 Reads

Lumbar Facet Tropism: A Comprehensive Review.

World Neurosurg 2017 Jun 6;102:91-96. Epub 2017 Mar 6.

Seattle Science Foundation, Seattle, Washington, USA.

Background: Scattered reports exist in the medical literature regarding facet tropism. However, this finding has had mixed conclusions regarding its origin and impact on the normal spine.

Methods: We performed a literature review of the anatomy, embryology, biomechanics, and pathology related to lumbar facet tropism. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750173028
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2017.02.114DOI Listing
June 2017
16 Reads

Is the use of minimally invasive fusion technologies associated with improved outcomes after elective interbody lumbar fusion? Analysis of a nationwide prospective patient-reported outcomes registry.

Spine J 2017 07 27;17(7):922-932. Epub 2017 Feb 27.

Carolina Neurosurgery and Spine Associates, 225 Baldwin Ave, Charlotte, NC 28204, USA.

Background Context: Over the last decade, clinical investigators and biomedical industry groups have used significant resources to develop advanced technologies that enable less invasive spine fusions. These minimally invasive surgery (MIS) technologies often require increased expenditures by hospitals and payers. Although several small single center studies have suggested MIS technologies decrease surgical morbidity and reduce hospital stay, evidence documenting benefit from a patient perspective remains limited. Read More

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http://dx.doi.org/10.1016/j.spinee.2017.02.003DOI Listing
July 2017
17 Reads

[Efficacy of Coflex in the treatment of lumbar spondylolisthesis].

Zhonghua Wai Ke Za Zhi 2017 Mar;55(3):208-213

Department of Orthopaedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

To study the clinical results of Coflex and lumbar posterior decompression and fusion in the treatment of lumbar degenerative spondylolisthesis at L(4-5). Thirty-eight patients with Grade Ⅰ degenerative spondylolisthesis, from January 2008 to December 2011 in Beijing Chaoyang Hospital, Capital Medical University were reviewed, and patients were divided into two groups by randomness. Group A was treated with Coflex and group B with pedicle instrumentation and interbody fusion. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2017.03.009DOI Listing
March 2017
5 Reads

Descriptive Analysis of Spinal Neuroaxial Injections, Surgical Interventions, and Physical Therapy Utilization for Degenerative Lumbar Spondylolisthesis Within Medicare Beneficiaries from 2000 to 2011.

Spine (Phila Pa 1976) 2017 02;42(4):240-246

*Medstar Georgetown University/National Rehabilitation Hospital, Washington, DC †University of Colorado, Denver, CO ‡The National Institutes of Health, Bethesda, MD.

Study Design: A retrospective, observational study.

Objective: The aim of this study was to determine the utilization of various treatment modalities in the management of degenerative spondylolisthesis within Medicare beneficiaries.

Summary Of Background Data: Degenerative lumbar spondylolisthesis is a condition often identified in symptomatic low back pain. Read More

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http://dx.doi.org/10.1097/BRS.0000000000001724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5133200PMC
February 2017
5 Reads

Circumferential fusion for degenerative lumbar spondylolisthesis complicated by distal junctional grade 4 spondylolisthesis in the sub-acute post-operative setting.

Eur Spine J 2017 12 15;26(12):3075-3081. Epub 2017 Feb 15.

Department of Orthopaedic Surgery, University of California-San Francisco (UCSF), 500 Parnassus Avenue, MU West 3rd Floor, San Francisco, CA, 94143, USA.

Introduction: Surgical management for lumbar stenosis is generally safe and provides significant improvements in pain, disability, and function. Successful lumbar decompression hinges on removing an appropriate amount of lamina and other compressive pathology in the lateral recess. Too little bony decompression can result in persistent pain and disability, while over resection of the pars and/or facets may jeopardize spinal stability. Read More

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http://dx.doi.org/10.1007/s00586-017-4976-zDOI Listing
December 2017
5 Reads

The Outcomes of Minimally Invasive versus Open Posterior Approach Spinal Fusion in Treatment of Lumbar Spondylolisthesis: The Current Evidence from Prospective Comparative Studies.

Biomed Res Int 2017 5;2017:8423638. Epub 2017 Jan 5.

Department of Orthopedics, Second Affiliated Hospital of Wenzhou Medical University, Second Medical College of Wenzhou Medical University, Zhejiang Spine Center, Wenzhou, Zhejiang, China.

. To investigate the evidence of minimally invasive (MI) versus open (OP) posterior lumbar fusion in treatment of lumbar spondylolisthesis from current prospective literatures. . Read More

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http://dx.doi.org/10.1155/2017/8423638DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5244007PMC
February 2017
57 Reads

The Spine in Patients With Osteogenesis Imperfecta.

J Am Acad Orthop Surg 2017 Feb;25(2):100-109

From the Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE.

Osteogenesis imperfecta is a genetic disorder of type I collagen. Although multiple genotypes and phenotypes are associated with osteogenesis imperfecta, approximately 90% of the mutations are in the COL1A1 and COL1A2 genes. Osteogenesis imperfecta is characterized by bone fragility. Read More

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http://dx.doi.org/10.5435/JAAOS-D-15-00169DOI Listing
February 2017
10 Reads

The Utility of Routinely Obtaining Postoperative Laboratory Studies Following a Minimally Invasive Transforaminal Lumbar Interbody Fusion.

Clin Spine Surg 2017 Dec;30(10):E1405-E1410

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Study Design: This is a retrospective analysis.

Objective: To test the hypothesis that there is limited utility in routinely obtaining postoperative laboratory values following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).

Background Data: At many institutions, it is routine to obtain a complete blood count and basic metabolic profile (BMP) following a MIS TLIF. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000459DOI Listing
December 2017
11 Reads

Characterization of radiographic features of consecutive lumbar spondylolisthesis.

Medicine (Baltimore) 2016 Nov;95(46):e5323

Department of Spine Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.

Radiographic features of consecutive lumbar spondylolisthesis were retrospectively analyzed in a total of 17 patients treated for this condition at the Third Hospital of Hebei Medical University from June 2005 to March 2012.To investigate the radiographic features, pelvic compensatory mechanisms, and possible underlying etiologies of consecutive lumbar spondylolisthesis.To the best of our knowledge, there is no previous report concerning the characteristics of consecutive lumbar spondylolisthesis. Read More

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http://dx.doi.org/10.1097/MD.0000000000005323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120916PMC
November 2016
9 Reads