THE LONG-TERM RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ISTHMIC SPONDYLOLISTHESIS USING ANTERIOR LUMBAR INTERBODY FUSION

V. M. Shapovalov; K. A. Nadulich; A. V. Teremshonok; E. B. Nagorny; N. M. Yastrebkov

doi:10.21823/2311-2905-2012-0-1-20-25

Traumatology and Orthopedics of Russia ›› 2012, Vol. 18 ›› Issue (1) : 14 -21. DOI: 10.21823/2311-2905-2012-0-1-20-25

Clinical studies

other

THE LONG-TERM RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ISTHMIC SPONDYLOLISTHESIS USING ANTERIOR LUMBAR INTERBODY FUSION

Author information +

History +

PDF

Abstract

The authors analyzed the long-term results of surgical treatment 47 patients with true spondylolisthesis. The follow up period ranged from 14 to 25 years. All patients underwent an isolated anterior interbody riving allograft fusion. The scales of VAS and ODI were used for subjective assessment of treatment outcomes; objective assessment was based on clinical and radiographic, CT and MRI outcomes. There were 42.6% (20 cases) patients with good, 31.9% (15 cases) with satisfactory and 25.5% (12 cases) unsatisfactory results in the long-term follow-up. The main reasons of poor outcome were: the continued high degree of displacement of the vertebral body (17.6%), instability (38.3%) and the disbalance of the lumbosacral spine (63.8%), persistent compression of neural structures (42.6%). Most patients had the combination of these factors that were existed against backdrop of progressive degenerative changes of the spine.

Cite this article

Download citation ▾

V. M. Shapovalov, K. A. Nadulich, A. V. Teremshonok, E. B. Nagorny, N. M. Yastrebkov. THE LONG-TERM RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ISTHMIC SPONDYLOLISTHESIS USING ANTERIOR LUMBAR INTERBODY FUSION. Traumatology and Orthopedics of Russia, 2012, 18(1): 14-21 DOI:10.21823/2311-2905-2012-0-1-20-25

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Митбрейт, И.М. Спондилолистез / И.М. Митбрейт. - М.: Медицина, 1978. - 324 с.

[2]	Ткаченко, С.С. К. вопросу о спондилолистезе / С.С. Ткаченко // Ортопедия, травматология и протезирование. - 1958. - № 5. - С. 38 - 43.

[3]	Турнер, Г.И. Спондилолистез, его сущность, клиническое проявление и значение в изменении статики тела / Г. И. Турнер // Вестн. хирургии. - 1926. - Т. 6, №16. - С. 3-17

[4]	Цивьян, Я.Л. Оперативное лечение спондилолистеза / Я. Л. Цивьян // Патология позвоночника. -Новосибирск, 1966. - С. 238 - 242.

[5]	Чаклин, В. Д. Новый метод операции на позвоночнике / В.Д. Чаклин // Труды научно-исследовательских институтов Уральского областного отдела здравоохранения. - Свердловск, 1933. - Т. I. - С. 577 - 589.

[6]	Aunoble, S. Video-assisted ALIF with cage and anterior plate fixation for L5-S1 spondylolisthesis / S. Aunoble, D. Hoste, P. Donkersloot, F. Liquois, Y. Basso, J.C. Le Huec // J. Spinal Disord. Tech. - 2006. -Vol. 19, N. 7. - P. 471-476.

[7]	Capener, N. Spondylolisthesis / N. Capener // Br. J. Surg. - 1932. - Vol. 19, N. 75. - P. 374 - 386.

[8]	Fredrickson, B.E. The natural history of spondylolysis and spondylolisthesis / B.E. Fredrickson, D. Baker, W.J. McHolick, H.A.Yuan, J.P. Lubicky // J. Bone Joint Surg. - 1984. - Vol. 66-A. - P. 699 - 707.

[9]	Serena, S. Hu. Spondylolisthesis and spondylolysis / S. Hu Serena, B. Tribus Clifford, M. Diab, A. J. Ghanayem // J. Bone Joint Surg. - 2008. - Vol. 90-A. - P. 656 - 671.

[10]	Wiltse, L.L. Terminology and measurement of spondylolisthesis / L.L. Wiltse, R.B. Winter // J. Bone Joint Surg. - 1983. - Vol. 65-A. - Р. 768 - 772.