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

The article discusses the controversy surrounding the surgical treatment of high-grade spondylolisthesis, a condition that affects the alignment of the spine. The goal of surgery is to restore the balance of the spine and alleviate symptoms such as pain, neurological deficits, and limb asymmetry. The case of a patient with high-grade spondylolisthesis who underwent minimally invasive management is presented, along with a literature review comparing different surgical techniques. The study found that various interbody fusion techniques can be used to correct the alignment of the spine, and a complete reduction of the listhesis is not always necessary. The surgical procedure performed in the patient achieved a complete reduction of the listhesis and correction of the spine’s alignment. However, further research is needed to determine if this approach can be applied to other patients with high-grade spondylolisthesis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated day surgery spinal centre in the world

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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