19 Harley St, London, W1G 9QJ, UK

Is lumbar fusion necessary in the treatment of degenerative spondylolisthesis?

Degenerative spondylolisthesis is a condition that requires surgical treatment in many cases.

 

About lumbar fusion

Lumbar fusion (also known as arthrodesis) is a surgical technique in which two or more of the vertebrae of the spine are joined/fused in such a way as to prevent movement between them.

In the past, fusion was performed in the following cases:

  • Progressive postoperative slips.
  • Younger patients.
  • Active patients with clear symptoms of instability.
  • If complete facetectomy had been performed.

 

Other surgical procedures

-Decompression surgery is basically done to release trapped nerves, in order to relieve pain, a small portion of the bone over the nerve root or disc material is removed from under the nerve root to give the nerve root more space. and provide a better healing environment. Radical decompression of L4 and L5 including both L4-5 facet complexes results in poor outcomes.

-In a laminectomy, the lamina (the bone at the back of the vertebra) is removed in one or more segments with the goal of reducing pressure on the spinal cord or nerves. Facetectomy is the resection of an articular facet, especially of the small intervertebral joints, in order to reduce a cervical vertebral dislocation or to perform a lumbar recalibration. It is worth mentioning that a wide laminectomy and medial facetectomy has better outcomes.

-Similar decompression with posterolateral autologous (derived from the same individual) fusion having better outcomes.

-Pseudoarthrosis (or nonunion is the failure of a bony union to take place) might occur in 9% of fused patients without instrumentation.

 

You might also want to read: Is reduction of spondylolisthesis necessary?

 

Conclusions

Most surgeons agree that decompression and fusion is the procedure of choice for most patients with degenerative spondylolisthesis with slip.

Fusion methods, however, vary amongst surgeons and best results are achieved when a surgeon has specialist skills in a particular technique and performs this technique regularly.

At Harley Street Hospital, we have some of the best specialists to diagnose and treat degenerative spondylolisthesis. Book an appointment to get a checkup.

 

 

 

 

Related Posts

0/5 (0 Reviews)

Trusindex Reviews

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

Lumbar Fusion

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810