Degenerative spondylolisthesis of the cervical spine--symptoms and surgical strategies depending on disease progress

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
Christian WoiciechowskyStefan-Nikolaus Kroppenstedt

Abstract

Degenerative spondylolisthesis of the cervical spine is rare. Patients show signs of progredient myelopathy, radiculopathy and pain. Treatment strategies include ventral, dorsal and combined fusion techniques with or without repositioning and decompression. In this study, we present 16 patients with degenerative cervical spondylolisthesis. The leading symptom was severe myelopathy in 8 patients, radiculomyelopathy in 5 patients and neck pain in 3 patients. However, neck pain was the initial symptom in all the patients and decreased when neurological symptoms became more evident. Radiographic examinations included plain radiography, MRI, CT, myelography and lateral tomography. Spondylolisthesis was located five times at level C3/4, C4/5 and C5/6. In three cases spondylolisthesis was located at level C7/T1. There were two patients with spondylolisthesis on two levels. Instability could be demonstrated by flexion/extension radiography in five cases. Patients were divided into three groups according to a newly introduced classification system. The surgical approach corresponded to this classification. In ten patients the spondylolisthesis could be corrected by extension and positioning, so discectomy and fusion on one or two levels...Continue Reading

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Citations

Jan 26, 2011·International Orthopaedics·Sheng-Dan JiangLi-Yang Dai
Mar 2, 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·Hideki ShigematsuYasuhito Tanaka
Jun 13, 2012·Journal of Medical Case Reports·Stefan ZwingenbergerJens Seifert
Sep 1, 2009·Case Reports in Medicine·Toshimi AizawaEiji Itoi
Mar 8, 2013·The Spine Journal : Official Journal of the North American Spine Society·Christopher D ChaputMark D Rahm
Dec 21, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Osamu IkedaTatsuo Morinaga
Nov 26, 2014·Spine·Hyo Sub JunJae Keun Oh
Dec 30, 2008·The Spine Journal : Official Journal of the North American Spine Society·Clayton L DeanHenry H Bohlman
Dec 8, 2015·Clinics in Orthopedic Surgery·Shailesh HadgaonkarParag Sancheti
Nov 21, 2015·Journal of Korean Neurosurgical Society·Hyung Cheol KimJae Keun Oh
Jun 29, 2018·Spine·Moon Soo ParkK Daniel Riew
Apr 2, 2018·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·David Christopher KieserOlivier Gille
Nov 19, 2018·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·I NoordhoekC L A Vleggeert-Lankamp
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Oct 8, 2020·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·Youping TaoHans-Joachim Wilke
Jan 7, 2021·Journal of Clinical Immunology·Amelia L MitchellDima A Hammoud
Apr 28, 2021·World Neurosurgery·Zheng WangDa-Long Yang

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