Present tendencies within the administration of degenerative lumbar spondylolisthesis.
EFORT Open Rev. 2018 Could;three(5):192-199
Authors: Ferrero E, Guigui P
Degenerative spondylolisthesis (DS) is a standard illness of the degenerative backbone, typically related to lumbar canal stenosis. Nonetheless, the selection between the completely different medical or surgical remedies stays below debate.Choice for surgical technique relies on the useful signs, and when surgical therapy is chosen, a number of questions needs to be posed and the surgical technique tailored accordingly.One of many foremost objectives of surgical procedure is to enhance neurological signs. Due to this fact, radicular decompression could also be vital. Radicular decompression may be carried out not directly by way of interbody fusion or interspinous spacer. Nonetheless, oblique decompression has some limits, and probably the most frequent approach is a posterior decompression with fusion.Certainly, in circumstances of DS, related fusion or dynamic stabilization are beneficial to enhance useful outcomes and forestall future destabilization. Danger components for destabilization, comparable to anteroposterior and angular mobility, and vital disc top, have been mentioned within the literature. When fusion is carried out, osteosynthesis is usually related. It’s important to decide on the size and place of the fusion in line with the pelvic incidence and world alignment of the affected person. It’s attainable so as to add interbody fusion to the posterolateral arthrodesis to enhance graft space and stability, enhance native lordosis and open foramina.The commonest surgical therapy for DS is posterior decompression with instrumented fusion. Nonetheless, some circumstances are extra sophisticated and it’s essential to contemplate the affected person’s basic well being standing, signs and alignment when choosing the surgical technique. Cite this text: EFORT Open Rev 2018;three DOI: 10.1302/2058-5241.three.170050.
PMID: 29951256 [PubMed]