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

The objective of this study was to assess the cross-sectional areas (CSA) of lumbar paraspinal muscles and their fatty degeneration in adults with degenerative lumbar spondylolisthesis (DLS) diagnosed with chronic radiculopathy, compare them with those of the same age- and sex-related groups with radiculopathy, and evaluate their correlations and the changes observed on magnetic resonance imaging (MRI). This retrospective study included 62 female patients aged 65–85 years, who were diagnosed with lumbar polyradiculopathy. The patients were divided into two groups: 30 patients with spondylolisthesis and 32 patients without spondylolisthesis. We calculated the CSA and fatty degeneration of the erector spinae (ES) and multifidus (MF) on axial T2-weighted magnetic resonance (MR) images from the inferior end plate of the L4 vertebral body levels. The functional CSA (FCSA): CSA ratio, skeletal muscle index (SMI), and MF CSA: ES CSA ratio were calculated and compared between the two groups using an independent t-test. We performed logistic regression analysis using spondylolisthesis as the dependent variable and SMI, FCSA, rFCSA, fat infiltration rate as independent variables. The result showed more fat infiltration of MF in patients with DLS (56.33 vs. 44.66%; p = 0.001). The mean FCSA (783.33 vs. 666.22 mm2; p = 0.028) of ES muscle was a statistically larger in the patients with DLS. The ES FCSA / total CSA was an independent predictor of lumbar spondylolisthesis (odd ratio =1.092, p = 0.016), while the MF FCSA / total CSA was an independent protective factor (odd ratio =0.898, p = 0.002)

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P68. Mid-Term Clinical Outcome of Posterior Decompression Without Fusion for Degenerative Lumbar Spondylolisthesis

The Spine Journal ◽

10.1016/j.spinee.2006.06.214 ◽

2006 ◽

Vol 6 (5) ◽

pp. 116S

Author(s):

Keigo Yasui ◽

Manabu Ito ◽

Kuniyoshi Abumi ◽

Yoshihisa Kotani ◽

Jun-Ichiro Okumura ◽

...

Keyword(s):

Clinical Outcome ◽

Posterior Decompression ◽

Degenerative Lumbar Spondylolisthesis ◽

Lumbar Spondylolisthesis

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Efficacy and safety of oblique lumbar interbody fusion versus transforaminal lumbar interbody fusion for degenerative lumbar spondylolisthesis: A systematic review and meta-analysis

World Neurosurgery ◽

10.1016/j.wneu.2021.11.127 ◽

2021 ◽

Author(s):

Ai-Feng Liu ◽

Tian-Ci Guo ◽

Ji-Xin Chen ◽

Wei-Jie Yu ◽

Hui-Chuan Feng ◽

...

Keyword(s):

Systematic Review ◽

Interbody Fusion ◽

Meta Analysis ◽

Transforaminal Lumbar Interbody Fusion ◽

Lumbar Interbody Fusion ◽

Efficacy And Safety ◽

Degenerative Lumbar Spondylolisthesis ◽

Oblique Lumbar Interbody Fusion ◽

Lumbar Spondylolisthesis

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Degenerative Lumbar Spondylolisthesis with Spinal Stenosis: A Comparative Study of 5-Year Outcomes Following Decompression with Fusion and Microendoscopic Decompression

Asian Spine Journal ◽

10.4184/asj.2018.12.1.132 ◽

2018 ◽

Vol 12 (1) ◽

pp. 132-139 ◽

Cited By ~ 7

Author(s):

Takato Aihara ◽

Tomoaki Toyone ◽

Yasuaki Murata ◽

Kazuhide Inage ◽

Makoto Urushibara ◽

...

Keyword(s):

Back Pain ◽

Clinical Outcomes ◽

Japanese Orthopaedic Association ◽

Large Percentage ◽

Neutral Position ◽

Maximal Extension ◽

Surgical Methods ◽

Degenerative Lumbar Spondylolisthesis ◽

Functional Scores ◽

Lumbar Spondylolisthesis

<sec><title>Study Design</title>Retrospective review of prospectively collected outcome data.</sec><sec><title>Purpose</title>To compare 5-year outcomes following decompression with fusion (FU) and microendoscopic decompression (MED) in patients with degenerative lumbar spondylolisthesis (DLS) and to define surgical indication limitations regarding the use of MED for this condition.</sec><sec><title>Overview of Literature</title>There have been no comparative studies on mid- or long-term outcomes following FU and MED for patients with DLS.</sec><sec><title>Methods</title>Forty-one consecutive patients with DLS were surgically treated. Sixteen patients first underwent FU (FU group), and 25 then underwent MED (MED group). The 5-year clinical outcomes following the two surgical methods were compared using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire.</sec><sec><title>Results</title>The degree of improvement (DOI) for social life function was significantly greater in the MED group than in the FU group. Although not statistically significant, DOIs for the other four functional scores were also greater in the MED group than in the FU group. However, patients with a large percentage of slippage in the neutral position might experience limited improvement in low back pain, those with a large percentage of slippage at maximal extension might experience limited improvement in three functional scores, and those with a small intervertebral angle at maximal flexion might have limited improvement in three functional scores after MED for DLS. Therefore, we statistically compared the DOIs between the FU and MED groups regarding the preoperative percentage of slippage in the neutral position among patients with greater than 20% slippage, the preoperative percentage of slippage at maximal extension among patients with greater than 15% slippage, and the intervertebral angle at flexion among patients with angles lesser than −5°; however, there were no statistically significant differences between the two groups.</sec><sec><title>Conclusions</title>MED is a useful minimally invasive surgical procedure that possibly offers better clinical outcomes than FU for DLS.</sec>

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FUNCTIONAL DISABILITY, SAGITTAL ALIGNMENT AND PELVIC BALANCE IN LUMBAR SPONDYLOLISTHESIS

Coluna/Columna ◽

10.1590/s1808-185120161501152836 ◽

2016 ◽

Vol 15 (1) ◽

pp. 30-32 ◽

Cited By ~ 1

Author(s):

Luis Muñiz Luna ◽

Hugo Vilchis Sámano ◽

Marcos Marban Heredia ◽

Enrique Salcedo Oviedo ◽

Juvenal Ordaz ◽

...

Keyword(s):

Sagittal Balance ◽

Evaluation Method ◽

Functional Disability ◽

Sagittal Alignment ◽

Radiographic Measurement ◽

Surgical Approaches ◽

Functional Evaluation ◽

Surgical Reduction ◽

Circumferential Fusion ◽

Lumbar Spondylolisthesis

ABSTRACT Objectives: To demonstrate the recovery of lumbar sagittal pelvic alignment and sagittal pelvic balance after surgical reduction of lumbar spondylolisthesis and establish the benefits of the surgery for reduction and fixation of the lumbar spondylolisthesis with 360o circumferential arthrodesis for 2 surgical approaches by clinical and functional evaluation. Method: Eight patients with lumbar spondylolisthesis treated with surgical reduction and fixation of listhesis and segmental circumferential fusion with two surgical approaches were reviewed. They were evaluated before and after treatment with Oswestry, Visual Analogue for pain and Odom scales, performing radiographic measurement of lumbar sagittal alignment and pelvic sagittal balance with the technique of pelvic radius. Results: Oswestry scales and EVA reported improvement of symptoms after treatment in 8 cases; the Odom scale had six outstanding cases reported. The lumbar sagittal alignment presented a lumbosacral lordosis angle and a lumbopelvic lordosis angle reduced in 4 cases and increased in 4 other cases; pelvic sagittal balance increased the pelvic angle in 4 cases and decreased in 3 cases and the sacral translation of the hip axis to the promontory increased in 6 cases. Conclusion: The surgical procedure evaluated proved to be useful by modifying the lumbar sagittal alignment and the pelvic balance, besides reducing the symptoms, enabling the patient to have mobility and movement and the consequent satisfaction with the surgery.

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GUIDELINES FOR TREATMENT OF DEGENERATIVE LUMBAR SPONDYLOLISTHESIS

Coluna/Columna ◽

10.1590/s1808-185120161503164082 ◽

2016 ◽

Vol 15 (3) ◽

pp. 238-240 ◽

Cited By ~ 1

Author(s):

CARMEN YOSSALETH BRICEÑO-GONZÁLEZ ◽

ADRIÁN GARCÍA-SUAREZ ◽

EULALIO ELIZALDE-MARTÍNEZ ◽

MARIO ANTONIO DOMÍNGUEZ-DE LA PEÑA ◽

RUBÉN TORRES-GONZÁLEZ ◽

...

Keyword(s):

Treatment Guidelines ◽

Treatment Options ◽

Cross Sectional ◽

Practice Guide ◽

Transpedicular Instrumentation ◽

Clinical Presentations ◽

Study Results ◽

Degenerative Lumbar Spondylolisthesis ◽

Axial Symptoms ◽

Lumbar Spondylolisthesis

ABSTRACT Objectives: To determine the standard of treatment of degenerative lumbar spondylolisthesis in its different clinical presentations in UMAE Dr. Victorio de la Fuente Narváez. Methods: Six cases found in the literature were presented to 36 experts in spine surgery, along with treatment options, to thereby obtain a standard prescription for the treatment of degenerative lumbar spondylolisthesis. Analytical observational cross-sectional descriptive study. Results: It was found that the treatment of choice in cases of degenerative lumbar spondylolisthesis with axial symptoms is conservative. The surgical treatment of choice for both stable and unstable patients with radiculopathy and/or claudication is decompression + posterolateral graft + transpedicular instrumentation + discectomy (graft). Conclusions: We managed to define the degenerative lumbar spondylolisthesis treatment guidelines in our unit, which can serve as a basis for the development of a clinical practice guide.

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