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Long-Term Clinical and Radiological Evaluation of Low-Grade Lumbar Spondylolisthesis Stabilization with Rigid Percutaneous Pedicle Screws – Lumbar Fusion

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The article discusses the use of percutaneous pedicle screws (PPS) for the surgical treatment of lumbar spondylolisthesis (LS), a condition where one vertebra slips forward onto the one below it. The study retrospectively analyzed data from 24 patients with LS who underwent PPS stabilization. The results showed a significant decrease in pain scores and disability index scores after surgery, as well as a reduction in the intake of pain medication. The PPS effectively reduced the range of motion at the affected level and maintained foraminal height, leading to positive clinical outcomes. Additionally, the study found a segmental kyphotic effect induced by PPS, which was compensated for by an increase in the pelvic incidence minus lumbar lordosis index. This study suggests that PPS can be a safe and effective treatment option for LS

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced day surgery hospital in London

Published article

The armamentarium of surgical treatment options for lumbar spondylolisthesis (LS) includes decompression alone, stabilization with interlaminar devices, or instrumented fusion, through open or minimally invasive approaches. Despite its safe profuse use in distinctive lumbar spine disorders, using percutaneous pedicle screws (PPSs) alone to stabilize LS has never been described before. We performed a retrospective study of prospectively collected data, enrolling 24 patients with LS and…

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Acta Neurochir Suppl. 2023;135:417-423. doi: 10.1007/978-3-031-36084-8_64.ABSTRACTThe armamentarium of surgical treatment options for lumbar spondylolisthesis (LS) includes decompression alone, stabilization with interlaminar devices, or instrumented fusion, through open or minimally invasive approaches. Despite its safe profuse use in distinctive lumbar spine disorders, using percutaneous pedicle screws (PPSs) alone to stabilize LS has never been described before.,

Acta Neurochir Suppl. 2023;135:417-423. doi: 10.1007/978-3-031-36084-8_64.

ABSTRACT

The armamentarium of surgical treatment options for lumbar spondylolisthesis (LS) includes decompression alone, stabilization with interlaminar devices, or instrumented fusion, through open or minimally invasive approaches. Despite its safe profuse use in distinctive lumbar spine disorders, using percutaneous pedicle screws (PPSs) alone to stabilize LS has never been described before. We performed a retrospective study of prospectively collected data, enrolling 24 patients with LS and scrutinizing clinical and radiological outcomes. A statistically significant decrease in visual analog scale (VAS) scores (p < 0.001) and Oswestry Disability Index (ODI) scores (p < 0.001) was observed, as was a reduction in the intake of acetaminophen after surgery (p = 0.022). In the long-term, PPS effectively reduced the index-level range of motion (p < 0.001), reduced preoperative slippage (p = 0.03), and maintained foraminal height, thus accounting for the positive clinical outcomes. It induced a significant segmental kyphotic effect (p < 0.001) that was compensated for by a favorable increase in the pelvic incidence minus lumbar lordosis (PI-LL) index (0.028).

PMID:38153503 | DOI:10.1007/978-3-031-36084-8_64

The London Spine Unit : most experienced day surgery hospital in London

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Long-Term Clinical and Radiological Evaluation of Low-Grade Lumbar Spondylolisthesis Stabilization with Rigid Percutaneous Pedicle Screws

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Acta Neurochir Suppl. 2023;135:417-423. doi: 10.1007/978-3-031-36084-8_64.ABSTRACTThe armamentarium of surgical treatment options for lumbar spondylolisthesis (LS) includes decompression alone, stabilization with interlaminar devices, or instrumented fusion, through open or minimally invasive approaches. Despite its safe profuse use in distinctive lumbar spine disorders, using percutaneous pedicle screws (PPSs) alone to stabilize LS has never been described before.
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