1997 Volvo Award winner in clinical studies. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal instrumentation

Spine
J S FischgrundL T Kurz

Abstract

This prospective study analyzed the influence of transpedicular instrumented on the operative treatment of patients with degenerative spondylolisthesis and spinal stenosis. To determine whether the addition of transpedicular instrumented improves the clinical outcome and fusion rate of patients undergoing posterolateral fusion after decompression for spinal stenosis with concomitant degenerative spondylolisthesis. Decompression is often necessary in the treatment of symptomatic patients who have degenerative spondylolisthesis and spinal stenosis. Results of recent studies demonstrated that outcomes are significantly improved if posterolateral arthrodesis is performed at the listhesed level. A meta-analysis of the literature concluded that adjunctive spinal instrumentation for this procedure can enhance the fusion rate, although the effect on clinical outcome remains uncertain. Seventy-six patients who had symptomatic spinal stenosis associated with degenerative lumbar spondylolisthesis were prospectively studied. All patients underwent posterior decompression with concomitant posterolateral intertransverse process arthrodesis. The patients were randomized to a segmental transpedicular instrumented or noninstrumented group. Sixt...Continue Reading

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Citations

Aug 6, 1999·The Journal of the American Academy of Orthopaedic Surgeons·A S Hilibrand, N Rand
May 16, 2000·Clinical Orthopaedics and Related Research·R S JacksonR G Lark
Jul 27, 2001·Journal of Clinical Laser Medicine & Surgery·M T KnightV F Hillier
Nov 1, 2002·Journal of Neurosurgery·Prithvi NarayanGerald E Rodts
Sep 6, 2003·Journal of Neurosurgery·Paul W DetwilerVolker K H Sonntag
Feb 13, 2004·The New England Journal of Medicine·Richard A DeyoSohail K Mirza
Mar 9, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Karl-Ake JanssonP Blomqvist
Jul 21, 2005·Journal of Neurosurgery. Spine·Daniel K ResnickUNKNOWN American Association of Neurological Surgeons/Congress of Neurological Surgeons
Mar 16, 2005·Spine·Dilip K Sengupta, Harry N Herkowitz
Sep 1, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Fang-Yeng ChangTain-Hsiung Chen
Oct 18, 2005·Spine·J N Alastair Gibson, Gordon Waddell
Jul 16, 2005·Journal of Spinal Disorders & Techniques·Benjamin K PotterTimothy R Kuklo
Aug 3, 2005·Der Orthopäde·G Freiherr von Salis-SoglioK Seller
Dec 22, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Rikke Soegaard, Finn B Christensen
Dec 22, 2006·Journal of the Chinese Medical Association : JCMA·Chien-Lung ChenWai-Hee Lo
Apr 9, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Kamran Majid, Jeffrey S Fischgrund
Feb 22, 2008·The New England Journal of Medicine·Jeffrey N Katz, Mitchel B Harris
Jun 6, 2009·Journal of Spinal Disorders & Techniques·Chun-Hao TsaiHsien-Te Chen
Nov 26, 2009·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jeffrey A RihnTodd J Albert
Jun 16, 2009·Journal of Spinal Disorders & Techniques·Paul T GeibelVudhi Slabisak
Aug 24, 2010·Journal of Orthopaedic Surgery and Research·Ashvin K DewanElizabeth A Olmsted-Davis
Nov 3, 2010·Journal of Neurosurgery. Spine·Charles A SansurChristopher I Shaffrey
Jul 16, 2010·Spine·Jeffrey A RihnTodd J Albert
Dec 18, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Seiji OhtoriKazuhisa Takahashi
Feb 18, 2011·Spine·Mladen DjurasovicLeah Y Carreon

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