Operative treatment of a lumbar spondylolisthesis with neurologic signs

E. I. Slinko, V. V. Verbov, A. I. Pastushin, A. V. Muravsky, M. E. Tsymbal, I. I. Al-Qashqish

Abstract


We carry out inspection, surgical treatment and study of results of treatment 31 patients suffering from spondylolisthesis with neurologic signs. At all types of a spondylolisthesis were made decompression of neural roots and dural bag: at a spondylolisthesis I degree a redressation and stabilization were not carried out; at a spondylolisthesis II degrees we carried out a redressation and stabilized vertebras with cages, installed from back access (PLIF – posterior lumbar interbody fusion). The spondylolisthesis of the large degree (III–IV) was stabilized by installation cages from back access (PLIF) in a combination to installation transpedicular system. At all patients it was possible to achieve a reduction of a spondylolisthesis as a minimum on 1 degree, stabilization displaced vertebras. In overwhelming majority of cases achieve functional regress of a neurologic symptomatology.

The remote results were traced on 2–16 months at 14 patients: on the data Ro, CT and МRI at all patients the bone fusion achieved, progressing of a spondylolisthesis it was not marked. The patients with isthmic and dysplastic spondylolisthesis had stable neurologic condition. At 2 patients with a degenerative spondylolisthesis the relapse of a pain set of symptoms however less expressed on intensity took place than before operation.


Keywords


spondylolisthesis; compression of the nerve roots; interbody fusion; transpedicular stabilization of the spine

References


Barbanti Brodano G., Donati U., Palmisani M., Pompili M., Boriani S. Posterior lumbar interbody fusion a mid-term review of 60 cases // Chir. Organi Mov. — 2000. — №85(4). — P.345—360.

Chang J.H., Lee C.H., Wu S.S., Lin L.C. Management of multiple level spondylolysis of the lumbar spine in young males: a report of six cases // J. Formos. Med. Assoc. —2001. —№100(7). —P.497—502.

Dai L.Y., Jia L.S., Yuan W., Ni B., Zhu H.B. Direct repair of defect in lumbar spondylolysis and mild isthmic spondylolisthesis by bone grafting, with or without facet joint fusion // Europ. Spine J. —2001. —№10(1). —P.78—83.

Goutallier D., Djian P., Borgese M.A., Allain J. Degenerative lumbar spondylolisthesis treated with isolated intersomatic arthrodesis: results of 30 cases with an average 4-year follow up // Rev. Chir. Orthop. Reparatrice. — Appar, Mot. — 2001.

Hollenberg G.M., Beattie P.F., Meyers S.P., Weinberg E.P., Adams M.J. Stress reactions of the lumbar pars interarticularis: the development of a new MRI classification system // Spine. — 2002. — №15;27(2). — P.181—186.

Ivanic G.M., Pink T.P., Achatz W., Ward J.C., Homann N.C., May M. Direct. Stabilization of Lumbar Spondylolysis With a Hook Screw: Mean 11-Year Follow-up Period for 113 Patients // Spine. — 2003. — №1;28(3). —P.255—259.

Pellise F., Toribio J., Rivas A., Garcia–Gontecha C., Bago J., Villanueva C. Clinical and CT scan evaluation after direct defect repair in spondylolysis using segmental pedicular screw hook fixation // J. Spinal Disord. — 1999. —№12(5). —P.363—367.

Pfeil J. Spinal growth under physiological and pathological conditions //Orthopade. — 2002. — №31(1). —P.2—10.

Prasartritha T. Surgical repair of pars defects in spondylolysis //J. Med. Assoc. Thai. —2001. —№84(9). — P.1235—1240.

StoneA.T., Tribus C.B. Acute progression of spondylolysis to isthmic spondylolisthesis in an adult // Spine. — 2002. — №15;27(16). — P.370—372.

Tan J., Jia L., Xu J., Zhou X., Lu H., Zuo J., Yuan W. Bone graft repair of adolescence spondylolysis with lag screw and tension band fixation //Zhonghua Wai Ke Za Zhi.— 2002. — №40(10). — P.727—729.

Theiss S.M. Isthmic spondylolisthesis and spondylolysis //J. South Orthop. Assoc. — 2001. — №10(3). — P.164—172.

Van der Wall H., Storey G., Magnussen J., Frater C.J., Pattinson R., Pereira J., Stephen J. Distin­guishing scintigraphic features of spondylo­lysis //J. Pediatr. Orthop. — 2002. —№22(3). —P.308—311.

Zhang H., Jin A.M., Zhang M.C. Finite element analysis of shape memory alloy intrasegmental fixator for lumbar spondylolysis //Di Yi Jun Yi Da Xue Xue Bao. — 2002.


GOST Style Citations






Copyright (c) 2003 E. I. Slinko, V. V. Verbov, A. I. Pastushin, A. V. Muravsky, M. E. Tsymbal, I. I. Al-Qashqish

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.