6,070 results match your criteria Spondylolisthesis Imaging
Clin Spine Surg 2018 Dec 4. Epub 2018 Dec 4.
Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, NY.
S1 pedicle subtraction osteotomies (PSOs) are indicated in patients with fixed, high-grade L5-S1 spondylolisthesis or kyphosis secondary to a sacral fracture, who present with severe sagittal imbalance. Unlike lumbar PSOs, sacral osteotomies are rare, and there is a paucity of literature outlining techniques. Here, we present the indications, planning, technique, and outcomes for S1 PSOs. Read More
Intern Med J 2018 Dec;48(12):1430-1434
Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, Victoria, Australia.
Lumbar spine fusion is a common procedure associated with a high cost burden and risk of serious complications. We aimed to summarise systematic reviews on the effectiveness of lumbar spine fusion for most diagnoses. We found no high-quality systematic reviews and the risk of bias of the randomised controlled trials in the reviews was generally high. Read More
Zhongguo Gu Shang 2018 Nov;31(11):1027-1033
Department of Spine Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China;
Objective: To analyze the clinical efficacy of unilateral and bilateral intervertebral space release in the treatment of lower lumbar spondylolisthesis.
Methods: The clinical data of 41 patients with lumbar spondylolisthesis treated by surgery from October 2012 and May 2016 were retrospcetive analyzed. The patients were divided into two groups, 18 cases were enrolled in unilateral intervertebral release group, there were 7 males and 11 females, aged from 47 to 75 years old with an average of (59. Read More
Dan Med J 2018 Dec;65(12)
Introduction: The Subgroups for Targeted Treatment (STarT) Back Screening Tool is used in general practice to stratify patients with acute back pain into either a low, medium or a high risk of developing complex pain. This study determines if the STarT Back Screening Tool can identify patients who are at a high risk of developing complex pain after spine surgery.
Methods: The STarT Back Screening Tool was administered pre-operatively to a consecutive series of patients who had lumbar spine surgery between 29 October 2012 and 1 February 2013. Read More
Spine J 2018 Nov 27. Epub 2018 Nov 27.
Centre of Elective Surgery, Regional Hospital of Silkeborg, Denmark. Electronic address:
Background: Approximately one-third of patients undergoing spine surgery have symptoms of anxiety and depression that correlate with pain, disability, and lower health-related quality of life. The use of web-based informative strategies before surgery and principles from cognitive behavioral therapy, have been applied in other patient groups, facilitating mobility and encouraging beneficial coping behavior.
Purpose: To examine the effect of a web-based Spine Platform featuring Interaction and Information by Animation (w-SPIINA) on symptoms of anxiety and depression, pain, disability, and health-related quality of life. Read More
Asian Spine J 2018 Nov 29. Epub 2018 Nov 29.
Department of Orthopaedic Surgery, Kansai Rosai Hospital, Amagasaki, Japan.
Study Design: Retrospective cohort study.
Purpose: We recently reported that when compared to posterior lumbar interbody fusion (PLIF) using traditional pedicle screw fixation, PLIF with cortical bone trajectory screw fixation (CBT-PLIF) provided favorable clinical outcomes and reduced the incidence of symptomatic adjacent segment pathology, but resulted in relatively lower fusion rates. Since titanium-coated polyetheretherketone (PEEK) cages (TP) could improve and accelerate fusion status after CBT-PLIF, early fusion status was compared between CBT-PLIF using TP and carbon PEEK cages (CP). Read More
Eur Spine J 2018 Nov 26. Epub 2018 Nov 26.
Orthopedics Department, Centro Hospitalar São João, Porto, Portugal.
Purpose: To describe and analyze the use of the V-rod technique described by Gillet to repair spondylolysis in both early and late postoperative periods.
Methods: Patients submitted to surgical correction of lumbar spondylolysis with a V-rod system were selected upon exclusion of adjacent disk degenerative changes and high-grade spondylolisthesis. A preoperative clinical (ODI and VAS) and radiological evaluation was performed, along with assessments on the early (clinical evaluation-up to 1 year) and late (clinical and radiological-at least 10 years) postoperative periods. Read More
J Clin Neurosci 2018 Nov 20. Epub 2018 Nov 20.
University of Miami Hospital, Department of Orthopaedic Surgery, 1400 N.W. 12th Ave, Miami, FL 33136, United States.
Surgical treatment of high-grade spondylolisthesis and spondyloptosis is recommended in symptomatic patients, yet there exists much debate regarding the optimal surgical approach and the need for reduction. Similar to the Bohlman technique in that fixation is achieved across two vertebral endplates, we discuss a novel technique with the advantage of using bilateral threaded pedicle screws of large diameter and length instead of a single fibula allograft. Patients underwent posterior instrumented fusion without spondylolisthesis reduction using a novel technique placing pedicle screws with a transvertebral trajectory through the two end plates involved in the spondylolisthesis. Read More
Asian J Neurosurg 2018 Oct-Dec;13(4):1279-1281
Department of Surgery, Section of Neurosurgery, Providence-Providence Park Hospital, Southfield, Michigan, USA.
This is a case report and literature review. The objectives of the study are to describe minimally invasive treatment of pedicle fractures, to show contralateral pedicle changes with pedicle fracture treatment, and to review literature on incidence and mechanism of neural arch fractures. After conservative therapy, there are several options for the treatment of pedicle fractures including pediculoplasty, osteosynthesis, or fusion. Read More
Global Spine J 2018 Oct 24;8(7):733-738. Epub 2018 Apr 24.
Osaka Rosai Hospital, Osaka, Japan.
Study Design: A retrospective study.
Objectives: To investigate surgical outcomes and limitations of decompression surgery for degenerative spondylolisthesis.
Methods: One hundred patients with degenerative spondylolisthesis who underwent decompression surgery alone were included in this study. Read More
Global Spine J 2018 Oct 26;8(7):722-727. Epub 2018 Mar 26.
Osaka Rosai Hospital, Osaka, Japan.
Study Design: Retrospective study.
Objective: There have been few reports of adjacent segment disease (ASD) after posterior lumbar interbody fusion (PLIF) with large numbers and long follow-up. The purpose of this study was to investigate (1) ASD incidence and time periods after primary PLIF, (2) repeat ASD incidence and time periods, and (3) ASD incidence and time periods by fusion length, age, and preoperative pathologies. Read More
Global Spine J 2018 Oct 27;8(7):716-721. Epub 2018 Mar 27.
Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Study Design: Retrospective cohort.
Objectives: Alterations in lumbar paraspinal muscle cross-sectional area (CSA) may correlate with lumbar pathology. The purpose of this study was to compare paraspinal CSA in patients with degenerative spondylolisthesis and severe lumbar disability to those with mild or moderate lumbar disability, as determined by the Oswestry Disability Index (ODI). Read More
J Craniovertebr Junction Spine 2018 Jul-Sep;9(3):167-169
Department of Trauma and Orthopaedics, Spinal Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Posterior reduction and fusion of spondylolisthesis has a number of recognized and accepted procedural difficulties dependent on its severity. The Jazz™ Band is a novel system designed primarily for posterior fixation of the spine; however, its uses can be applied to a breadth of spinal conditions. Its benefits include that one size will fit all spinal levels; the connector is designed for multiple union rod diameters and reduced comorbidity when compared with other surgical methods. Read More
J Ultrasound Med 2018 Nov 13. Epub 2018 Nov 13.
Department of Radiology, Istanbul University, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
Objectives: To assess lumbar multifidus muscle stiffness in patients with unilateral lumbar disk herniation (LDH) causing nerve root compression using shear wave elastography (SWE).
Methods: Thirty-three patients with unilateral subarticular LDH (L3-L4, L4-L5, and L5-S1) causing nerve root compression, diagnosed by magnetic resonance imaging, were enrolled in the study. Exclusion criteria were bilateral or multilevel LDH confirmed on magnetic resonance imaging, bilateral leg symptoms, and patients with a history of any spinal operation, malignancy, trauma, infection, spondylolisthesis, severe lateral recess stenosis, spinal canal stenosis, and substantial comorbidities. Read More
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Nov;32(11):1371-1376
Department of Spine Surgery, Honghui Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.
Objective: To explore the clinical application value of the spinal robot-assisted surgical system in mild to moderate lumbar spondylolisthesis and evaluate the accuracy of its implantation.
Methods: The clinical data of 56 patients with Meyerding grade Ⅰ or Ⅱ lumbar spondylolisthesis who underwent minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) between January 2017 and December 2017 were retrospectively analysed. Among them, 28 cases were preoperatively planned with robotic arm and percutaneous pedicle screw placement according to preoperative planning (group A); the other 28 cases underwent fluoroscopy-guided percutaneous pedicle screw placement (group B). Read More
World Neurosurg 2018 Nov 8. Epub 2018 Nov 8.
The Spinal Column Biomechanics and Surgical Outcomes Laboratory, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address:
Background: The pathogenesis of synovial cysts is largely unknown; however, they are increasingly thought of as markers of spinal facet instability and are typically associated with degenerative spondylosis. In this article, we specifically investigate the incidence of concomitant synovial cyst with underlying degenerative spondylolisthesis.
Methods: A literature search was performed using 4 online databases to assess the association between lumbar synovial cysts and degenerative spinal pathologies. Read More
World Neurosurg 2018 Nov 7. Epub 2018 Nov 7.
Department of Orthopedics, Affiliated Hospital of Nantong University, Nantong, 226001, Jiangsu, China; Jiangsu Clinical Medicine Center of Tissue Engineering and Nerve Injury Repair, Nantong, Jiangsu 226001, China. Electronic address:
Objective: The purpose of the present study is to compare the clinical efficacy and safety between minimally invasive and traditional open transforaminal lumbar interbody fusion in the treatment of single-level spondylolisthesis grades 1 and 2.
Study Design: Systematic review and meta-analysis.
Methods: A comprehensive literature retrieval was performed in three electronic databases(Pubmed, Embase and Cochrane library). Read More
J Korean Neurosurg Soc 2018 Nov 30;61(6):680-688. Epub 2018 Oct 30.
IRCCS Galeazzi Orthopedic Institute, Milano, Italy.
Objective: To mitigate the risk of iatrogenic instability, new posterior decompression techniques able to preserve musculoskeletal structures have been introduced but never extensively investigated from a biomechanical point of view. This study was aimed to investigate the impact on spinal flexibility caused by a unilateral laminotomy for bilateral decompression, in comparison to the intact condition and a laminectomy with preservation of a bony bridge at the vertebral arch. Secondary aims were to investigate the biomechanical effects of two-level decompression and the quantification of the restoration of stability after posterior fixation. Read More
Clin Spine Surg 2018 Nov 1. Epub 2018 Nov 1.
Twin Cities Spine Center, Minneapolis, MN.
Study Design: This is a retrospective cohort study.
Objective: To compare posterolateral versus transforaminal interbody fusion (PLF vs. PLF+TLIF) of the L4/5 segment regarding rates of subsequent surgery, clinical and radiographic parameters, and patient satisfaction. Read More
World Neurosurg 2018 Oct 31. Epub 2018 Oct 31.
Department of Neurosurgery, Windsor Regional Hospital, Western University.
Background: Traumatic spondylolisthesis or hangman's fractures are common cervical spine fractures. The majority of these are treated non-surgically with external immobilization. Indications for surgery generally include fracture instability or failed non-operative management. Read More
World Neurosurg 2018 Nov 1. 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
Clin Neurol Neurosurg 2018 Dec 23;175:91-97. Epub 2018 Oct 23.
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA. Electronic address:
Objectives: The advent of minimally invasive, percutaneous techniques for the placement of pedicle screws has led to the evolution of a popular treatment paradigm: anterior or lateral interbody fusions followed by posterior percutaneous pedicle screw placement. We present the operative technique for anterior-to-psoas lateral interbody fusion (ATP-LIF) with simultaneous posterior lumbar percutaneous pedicle screw fixation using intraoperative CT-guided navigation.
Patients And Methods: This technique capitalizes both on the more oblique approach used in the ATP-LIF procedure, as well as the anatomic clarity gleaned from intraoperative CT-guided navigation, to allow for simultaneous placement of pedicle screws in the lateral position without the need for guiding fluoroscopy. Read More
Acta Chir Orthop Traumatol Cech 2018 ;85(5):305-318
Klinika spondylochirurgie 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.
PURPOSE OF THE STUDY An optimal technique to surgically treat high-grade high-dysplastic (HG HD)spondylolistheses remains disputable. There are multiple surgical procedures described, ranging from a simple posterior fusion in situ without fixation through a standalone anterior lumbar interbody fusion with the oblique insertion of a structural bonegraft to instrumented full reduction and 360-degree fusion. At our department, preference is given to the instrumented monosegmental reduction and fixation by a fixator with Schanz screws. Read More
Eur Spine J 2018 Oct 31. Epub 2018 Oct 31.
IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.
Unfortunately, the affiliation of the author group has been incorrectly published in original version. The complete correct affiliation of all authors should read as follows. Read More
Chin Med J (Engl) 2018 Nov;131(21):2537-2543
Department of Orthopedics, Army General Hospital of Chinese People's Liberation Army, Beijing 100700, China.
Background: Many clinical studies over the past decade have indicated positive outcomes for patients treated with Dynesys dynamic stabilization for lumbar degenerative disease. However, long-term outcomes of Dynesys for lumbar spinal stenosis are rarely reported. The aim of this study was to analyze the long-term clinical and radiologic outcomes for patients with lumbar spinal stenosis treated with Dynesys stabilization. Read More
Int J Spine Surg 2018 Oct 15;12(5):624-628. Epub 2018 Oct 15.
Department of Orthodontics, Tokushima University, Tokushima, Japan.
Background: We report the case of a professional baseball player who had severe leg pain due to lumbar lateral disc herniation at L4-5 and isthmic spondylolisthesis at L5 (double crash syndrome). For early recovery to competitive level, we performed minimally invasive endoscopic decompression surgery without fusion. There are few reports to discuss the usefulness of minimally invasive treatment for top athletes. Read More
Spine Deform 2018 Nov - Dec;6(6):669-675
Twin Cities Spine Center, 913 E 26th Street, Suite 600, Minneapolis, MN 55404, USA; Gillette Children's Specialty Healthcare, 200 University Ave E, St Paul, MN 55101, USA. Electronic address:
Introduction: Selective thoracic fusions (STFs) were introduced by Moe to treat the structural thoracic curve when a more flexible lumbar component existed. It is unknown how the curves behave and how the patients function beyond 20 years after surgery.
Methods: Of the 152 eligible patients with STF, 67 were traced and contacted and 40 completed outcome questionnaires (Oswestry Disability index [ODI], Scoliosis Research Society-30 [SRS-30]) and had follow-up standing radiographs. Read More
Spine Deform 2018 Nov - Dec;6(6):634-643
Department of Orthopaedic Surgery, Columbia University Medical Center, The Spine Hospital, New York-Presbyterian Healthcare System, 5141 Broadway, 3 Field West, New York, NY 10034, USA.
Study Design: Retrospective review of prospectively collected data.
Objective: Analyze the Scoliosis Research Society (SRS) Morbidity & Mortality (M&M) database to assess the incidence and characteristics related to postoperative surgical site infection (SSI) after spinal deformity surgery.
Summary Of Background Data: Infections involving spinal instrumentation are associated with greater rates of disability. Read More
Cureus 2018 Aug 13;10(8):e3135. Epub 2018 Aug 13.
Internal Medicine, Icahn School of Medicine at Mount Sinai Queens Hospital Center, New York, USA.
The first line of treatment for lumbar spinal stenosis (with or without lumbar degenerative spondylolisthesis) involves conservative options such as anti-inflammatory drugs and analgesics. Approximately, 10%-15% of patients require surgery. Surgical treatment aims to decompress the spinal canal and dural sac from degenerative bony and ligamentous overgrowth. Read More
Clin Spine Surg 2018 Oct 16. Epub 2018 Oct 16.
Department of Orthopaedics, University of Utah, Salt Lake City, UT.
Study Design: This is a retrospective analysis.
Objective: The purpose of this study was to compare the clinical, radiographic, and perioperative complication profiles of performing an interbody and posterior arthrodesis (CAGE) versus posterolateral lumbar fusion (PLF) alone in patients undergoing surgery for degenerative spondylolisthesis (DS).
Summary Of Background Data: DS is a common disorder that, failing nonoperative treatment, may be managed with surgical decompression and concomitant posterior arthrodesis. Read More
Asian Spine J 2018 Oct 18. Epub 2018 Oct 18.
Department of Spine Surgery, Stavya Spine Hospital and Research Institute Private Limited, Ahmedabad, India.
Study Design: Retrospective study.
Purpose: This study aimed to clarify the relationship of both facet tropism (FT) and the sagittally aligned facet (SAF) joint with lumbar disc herniation (LDH) and degenerative spondylolisthesis (DS).
Overview Of Literature: Despite several studies conducted, there is no consensus on the association of the SAF joint and FT with DH and DS. Read More
Osteoporos Int 2018 Dec 15;29(12):2717-2723. Epub 2018 Oct 15.
Department of Orthopaedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 138 Sheng-Li Road, Tainan, 70428, Taiwan.
Impaired functional movement may occur after spinal surgery, which increases risk of fall episode and hip fracture. Patients with long-segment thoracolumbar spine fusions had a significantly higher risk of hip fracture than those with only discectomies. Fall prevention is necessary due to the highly increased hip fracture risk. Read More
J Orthop Sci 2018 Oct 11. Epub 2018 Oct 11.
Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Background: Despite facet joints being three-dimensional structures, previous computed tomography and magnetic resonance imaging studies have evaluated facet joint orientation in only the axial plane. Facet joint orientation in the sagittal plane has rarely been studied using these imaging techniques. The aim of this study was to elucidate facet joint orientation in both the axial and sagittal planes on computed tomography. Read More
Clin Radiol 2018 Oct 9. Epub 2018 Oct 9.
Department of Medical Imaging, Kaohsiung Medical University Chung Ho Memorial Hospital, Taiwan, Republic of China; Department of Medical Imaging, Chi Mei Medical Center, Tainan, Taiwan, Republic of China. Electronic address:
Aim: To evaluate efficacy of T2-weighted (T2W) iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL)-fast spin echo (FSE) imaging of the cervical spine.
Materials And Methods: The cervical spine of 100 symptomatic patients was imaged using routine magnetic resonance imaging (MRI) versus IDEAL-FSE imaging. The signal-to-noise ratios (SNRs), contrast-to-noise ratios (CNRs), and image quality were analysed. Read More
Spine J 2018 Oct 10. Epub 2018 Oct 10.
University of British Columbia, Vancouver, British Columbia, Canada; Canadian Spine Outcomes and Research Network, Canada.
Study Design: Retrospective review of results from a prospectively collected Canadian cohort in comparison to published literature.
Objectives: (1) To investigate whether patients in a universal health care system have different outcomes than those in a multitier health care system in surgical management of degenerative spondylolisthesis (DS). (2) To identify independent factors predictive of outcome in surgical DS patients. Read More
J Rehabil Med 2018 Nov;50(10):898-907
Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan ROC.
Objective: To evaluate the relationships among spino-pelvic parameters, trunk balance and functional disability in patients with degenerative lumbar spondylolisthesis.
Design: Cross-sectional study.
Subjects: Forty-five patients with degenerative lumbar spondylolisthesis and 32 patients without degenerative lumbar spondylolisthesis. Read More
Reumatol Clin 2018 Oct 5. Epub 2018 Oct 5.
Servicio de Rehabilitación de Columna, Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra», Tlalpan, Ciudad de México, México.
Tophaceous deposits in lumbar spine is considered a rare condition. We report the case of a 44-year-old patient with low back pain and radiculopathy. Radiographs revealed lytic spondylolisthesis in L5. Read More
Spine J 2018 Oct 5. Epub 2018 Oct 5.
University of Montreal, Montreal, Québec Canada; Division of Orthopedic Surgery, CHU Sainte-Justine, Montreal, Québec Canada; Hôpital du Sacré-Coeur, Montreal, Québec Canada. Electronic address:
Backgound Context: Abnormal proximal femoral angle (PFA) was recently found to be associated with deteriorating sagittal balance and quality of life (QoL) in high-grade spondylolisthesis (HGS). However, the influence of PFA on the QoL of patients undergoing surgery remains unknown.
Purpose: This study compares the pre- and postoperative measurements of sagittal balance including PFA in patients with lumbosacral HGS after surgery. Read More
World Neurosurg 2018 Oct 4. Epub 2018 Oct 4.
Department of Neurosurgery, University of Texas South Western Medical Center, Dallas, TX.
Clin Spine Surg 2018 Oct 3. Epub 2018 Oct 3.
Carl R. Darnall Army Medical Center, Fort Hood, TX.
J Am Acad Orthop Surg Glob Res Rev 2018 Jul 9;2(7):e052. Epub 2018 Jul 9.
Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal (Dr. Nogueira, Dr. Pereira, Dr. Alves, and Dr. Lopes), and Centro Hospitalar São João, Porto, Portugal (Dr. Couto, Dr. Freitas, Dr. Alegrete, and Dr. Costa).
This is a case report of pyogenic sacroiliitis in a pediatric patient caused by . The patient is a 16-year-old boy who presented to an emergency department with sudden onset of back pain radiating to the left lower extremity. The diagnosis was confounded by the presence of isthmic spondylolisthesis. Read More
JB JS Open Access 2018 Jun 8;3(2):e0051. Epub 2018 May 8.
New York Spine Institute, NYU Langone Orthopedic Hospital, New York, NY.
Background: Factors that are relevant to the decision regarding the use of surgical treatment for degenerative spondylolisthesis include disease-state severity and patient quality-of-life expectations. Some factors may not be easily appraised by the surgeon. In prospective trials involving patients undergoing nonoperative and operative treatment, there are instances of crossover in which patients from the nonoperative group undergo surgery. Read More
Int J Spine Surg 2018 Jan 30;12(1):76-84. Epub 2018 Mar 30.
Atlanta Medical Center, Atlanta, Georgia.
Background: When conservative treatments fail to alleviate the discomfort of abnormal motion, spinal fusion has been shown to provide symptomatic treatment for spinal instability, stenosis, spondylolisthesis, and symptomatic degenerative disc disease. The trend and rates of fusion over the past few years have been dramatic in the United States. Accompanying that higher incidence has been the shifting from traditional open surgery to minimally invasive techniques to reduce scar tissue formation, extent of muscle stripping, and muscle retraction which all have been shown to adversely affect outcomes. Read More
Int J Spine Surg 2018 Jan 30;12(1):70-75. Epub 2018 Mar 30.
Orthopedic Department, Sohag University Hospital, Egypt.
Background: A retrospective study of patients treated by transforaminal lumbar interbody fusion (TLIF) with local bone graft alone for single-level isthmic spondylolisthesis (IS) between April 2009 and July 2014 in a single facility.
Methods: Demographic and operative data, complications, preoperative and postoperative clinical records, and radiographs were revised. The Visual Analogue Scale (VAS) and Denis Work Scale were used for clinical and functional assessment. Read More
Int J Spine Surg 2018 Jan 30;12(1):64-69. Epub 2018 Mar 30.
Hospital for Special Surgery, New York, NY, USA.
Background: In the absence of spondylolisthesis, fusion procedures are generally not recommended. However, decompression alone often does not provide long-term clinical success of intractable leg and back pain. Decompression with interlaminar stabilization (ILS) offers a new option within the clinical continuum of care by providing a nonfusion surgical alternative. Read More
World Neurosurg 2018 Sep 29. 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
Int J Spine Surg 2018 Aug 31;12(4):469-474. Epub 2018 Aug 31.
Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California.
Study Design: Retrospective cohort study.
Objective: To compare outcomes and complications of stand-alone minimally invasive lateral interbody fusion (LIF) vs revision posterior surgery for the treatment of lumbar adjacent segment disease.
Methods: Adults who underwent LIF or transforaminal lumbar interbody fusion (TLIF) for adjacent segment disease were compared. Read More
Int J Spine Surg 2018 Jun 15;12(3):408-414. Epub 2018 Aug 15.
Spine Unit, Orthopedic Department, Queen Savang Vadhana Memorial Hospital, Sri Racha, Chonburi, Thailand.
The first author's series has reported and published his 5- to 10-year results in a preliminary review of endoscopic transforaminal decompression for degenerative and isthmic spondylolisthesis causing sciatica and back pain. This study was initiated due to favorable results in relieving both back and leg pain after a spine surgeon with isthmic spondylolisthesis who wanted to avoid fusion requested consideration for an endoscopic procedure for his own isthmic spondylolisthesis condition. After listening to the first author's podium presentation on selective endoscopic discectomy and foraminal decompression under local anesthesia in 1995, he requested consideration for transforaminal endoscopic decompression for recent onset of progressive sciatica from his isthmic spondylolisthesis. Read More
Int J Spine Surg 2018 Jun 15;12(3):399-407. Epub 2018 Aug 15.
Apollo Hospitals, Chennai, India.
Background: Surgical management of high-grade spondylolisthesis in the young is not only challenging but also controversial, from in-situ fusion to complete reduction. It is fraught with dangers such as neurological injury, pseudoarthrosis, and progressive deformity with subsequent global sagittal imbalance. We describe our experience of progressive reduction technique and restoration of lumbosacral alignment. Read More
Int J Spine Surg 2018 Jun 15;12(3):322-327. Epub 2018 Aug 15.
Washington Spine and Scoliosis Clinic, OrthoBethesda, Bethesda, Maryland.
Background: Anterior lumbar interbody fusion (ALIF) has been well established as an effective surgical intervention for chronic back pain due to osteoporotic vertebral collapse. Historically, ALIF has consisted of an anterior approach to disc height restoration with a subsequent posterior pedicle screw fixation. Although the applications of cement augmentation with posterior fixation have been previously reported, treatment of patients with both isthmic spondylolisthesis and decreased bone mineral density using a stand-alone ALIF is controversial because of concerns for decreased fusion rates and increased subsidence risk, respectively. Read More