Treatment of severe spondylolisthesis in adolescence with reduction or fusion in situ: long-term clinical, radiologic, and functional outcome

Spine
M PoussaIlkka Helenius

Abstract

Retrospective follow-up study with two cohorts: one treated with reduction and the other with fusion in situ. To assess the long-term effects of reduction versus fusion in situ on lumbar spine in children and adolescents with severe L5 isthmic spondylolisthesis. Severe isthmic spondylolisthesis is commonly treated with fusion in situ, but modern surgical techniques and instrumentation permit the reduction of a severely slipped fifth lumbar vertebra. Advocates of one or another of these procedures present different claims to defend their choice. However, to our knowledge, no long-term results of the reduction maneuver exist. Between 1983 and 1991, 22 adolescents with severe (more than 60%) slip were treated surgically. In 11 of them, reduction was performed with a Magerl/Dick transpedicular device, followed by fusion posteriorly from L4 or L5 to S1 and anteriorly from L5 to S1. In the others, fusion was performed in situ posteriorly from L4 (n = 7) or L5 (n = 4) to S1 and anteriorly from L5 to S1. The average age of patients at surgery was 14.7 years (range 10.7-18.5). Radiographs obtained before surgery, after surgery, and at the final follow-up evaluation were assessed for quality of fusion. In addition, magnetic resonance ima...Continue Reading

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Citations

Apr 3, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Dae-Woong KwonSung-Uk Kuh
Sep 14, 2007·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·Thomas AndersenFinn B Christensen
Oct 21, 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·Tuomas JalankoDietrich Schlenzka
Jun 15, 2013·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·Xiao-Feng LianCheng Zhao
Aug 15, 2015·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·Ibrahim ObeidJean-Marc Vital
Apr 9, 2013·Neurosurgery Clinics of North America·Manish K KasliwalChristopher I Shaffrey
Apr 13, 2010·The Spine Journal : Official Journal of the North American Spine Society·Steven S Agabegi, Jeffrey S Fischgrund
Oct 13, 2009·The Spine Journal : Official Journal of the North American Spine Society·Palaniappan LakshmananPaul R Davies
Apr 23, 2015·Orthopedics·Kristen E Radcliff, Andre M Jakoi
Dec 10, 2015·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·Er-Zhu YangXiao-Feng Lian
Jun 9, 2007·Neurosurgery Clinics of North America·Frank L AcostaDean Chou
Feb 29, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·S MoreauD Chopin
Apr 7, 2016·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·Isabel Collados-MaestreVicente Gil-Guillen
Mar 20, 2013·The Spine Journal : Official Journal of the North American Spine Society·Étienne Bourassa-MoreauHubert Labelle
Nov 8, 2014·Journal of Neurosurgery. Spine·Justin M HireJohn G DeVine
Jul 23, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Guoxin FanShisheng He
Mar 20, 2008·The Journal of Bone and Joint Surgery. American Volume·Ilkka HeleniusMikko Poussa
Jun 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Ilkka HeleniusMikko Poussa
Feb 1, 2017·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·Ralph T SchärDaniel Haschtmann
May 13, 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·Francesco Ciro TamburrelliLuca Proietti
Apr 14, 2020·Clinical Orthopaedics and Related Research·Ezekial Koslosky, David Gendelberg
Apr 27, 2017·Asian Spine Journal·Kazuhide InageSeiji Ohtori
Apr 25, 2017·Clinical Spine Surgery : a Spine Publication·Gurpreet S GandhokeAdam S Kanter
Apr 17, 2019·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·Abdulmajeed AlzakriJean-Marc Mac-Thiong
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