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Minimally Invasive Surgery for Managing Grade IV and V Spondylolisthesis – Lumbar Fusion

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The article discusses the surgical treatment of high-grade spondylolisthesis, a condition characterized by the forward slippage of one vertebra over another in the spine. The treatment aims to restore the balance of the spine and alleviate symptoms. The authors present a case study of a patient with high-grade spondylolisthesis who underwent minimally invasive management. They also provide a narrative review of the topic, comparing their technique to other surgical alternatives. The study included a literature review of articles published between 1963 and 2022, and a total of 75 references were selected for the review. The authors highlight the use of different interbody fusion techniques to correct the spinal curvature and restore the balance. They also describe their surgical procedure as the first known case of minimally invasive arthrodesis with iliac screws and sacral fixation for high-grade dysplastic spondylolisthesis. Further research is needed to determine the generalizability of the findings to other patients with high-grade spondylolisthesis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal clinic in UK

Published article

Surgical treatment of high-grade spondylolisthesis is controversial and aims at restoring the spinopelvic sagittal balance through complete or partial reduction of the listhesis. Nerve decompression and interbody fusion are necessary for patients presenting with neurological deficit, severe pain, lower limb asymmetry, or deformities. We present the case and the results of a patient with high-grade spondylolisthesis, in whom minimally invasive management was performed. A narrative review in this…

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Asian J Neurosurg. 2023 Sep 22;18(3):437-443. doi: 10.1055/s-0043-1771317. eCollection 2023 Sep.ABSTRACTSurgical treatment of high-grade spondylolisthesis is controversial and aims at restoring the spinopelvic sagittal balance through complete or partial reduction of the listhesis. Nerve decompression and interbody fusion are necessary for patients presenting with neurological deficit, severe pain, lower limb asymmetry, or deformities. We present,

Asian J Neurosurg. 2023 Sep 22;18(3):437-443. doi: 10.1055/s-0043-1771317. eCollection 2023 Sep.

ABSTRACT

Surgical treatment of high-grade spondylolisthesis is controversial and aims at restoring the spinopelvic sagittal balance through complete or partial reduction of the listhesis. Nerve decompression and interbody fusion are necessary for patients presenting with neurological deficit, severe pain, lower limb asymmetry, or deformities. We present the case and the results of a patient with high-grade spondylolisthesis, in whom minimally invasive management was performed. A narrative review in this topic is also provided. We performed a literature review of high-grade spondylolisthesis to compare our technique to current surgical alternatives. We included articles from PubMed, Embase, Scopus, Ovid, and Science Direct published between 1963 and 2022 that were written in English, German, and Spanish. The terms used were the following: “high grade spondylolisthesis,” “spondyloptosis,” “surgical management,” “interbody fusion,” and “arthrodesis.” In all, 485 articles were displayed, from which we filtered 112 by title and abstract. At the end, 75 references were selected for the review. Different interbody fusion techniques can be used to correct the lumbosacral kyphosis and restore the spinopelvic parameters. A complete reduction of the listhesis is not always required. The surgical procedure carried out in our patient corresponds to the first known case of minimally invasive circumferential arthrodesis with iliac screws and sacral fixation in a high-grade dysplastic spondylolisthesis. This approach guarantees the correction of the lumbosacral kyphosis and a complete reduction of the listhesis. Further studies are required to determine whether the results of this case can be extrapolated to other patients with high-grade spondylolisthesis.

PMID:38152513 | PMC:PMC10749848 | DOI:10.1055/s-0043-1771317

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Minimally Invasive Surgery for Managing Grade IV and V Spondylolisthesis

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Asian J Neurosurg. 2023 Sep 22;18(3):437-443. doi: 10.1055/s-0043-1771317. eCollection 2023 Sep.ABSTRACTSurgical treatment of high-grade spondylolisthesis is controversial and aims at restoring the spinopelvic sagittal balance through complete or partial reduction of the listhesis. Nerve decompression and interbody fusion are necessary for patients presenting with neurological deficit, severe pain, lower limb asymmetry, or deformities. We present

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