Journal article
OPERATIVE MANAGEMENT OF DEGENERATIVE SPONDYLOLISTHESIS A Critical Analysis Review
JBJS reviews, Vol.6(8), pp.e4-e4
08/01/2018
DOI: 10.2106/JBJS.RVW.17.00181
PMID: 30106765
Abstract
Decompressive surgical procedures for degenerative spondylolisthesis are supported by Level-II evidence demonstrating a sustained benefit compared with nonoperative care.
Decompression and arthrodesis have a proven role for select cases of degenerative spondylolisthesis, but recent Level-I evidence comparing decompression alone with decompression and arthrodesis is conflicting with regard to the clinical benefit for stable grade-I or grade-II degenerative spondylolisthesis.
The addition of segmental arthrodesis increases operative time, blood loss, length of stay, and hospital charges.
Among patients undergoing arthrodesis, Level-I evidence supports inferior outcomes in patients with radiographic pseudarthrosis.
A multitude of techniques exist to achieve segmental lumbar fusion; no strong evidence supports any single operative technique providing superior clinical outcomes.
Details
- Title: Subtitle
- OPERATIVE MANAGEMENT OF DEGENERATIVE SPONDYLOLISTHESIS A Critical Analysis Review
- Creators
- Nathan R. Hendrickson - University of IowaMichael P. Kelly - Washington University in St. LouisZoher Ghogawala - Lahey Hospital and Medical CenterAndrew J. Pugely - University of Iowa
- Resource Type
- Journal article
- Publication Details
- JBJS reviews, Vol.6(8), pp.e4-e4
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.2106/JBJS.RVW.17.00181
- PMID
- 30106765
- ISSN
- 2329-9185
- eISSN
- 2329-9185
- Number of pages
- 10
- Language
- English
- Date published
- 08/01/2018
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984303979602771
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