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3818

Reduction of Lumbar Spondylolisthesis, Surgical Technique and Clinical Outcome.

Article

Last updated: 22 Jan 2023

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Deformity

Abstract

Background Data: Reduction of the slipped vertebrae as a part of surgical  approach is now attempted. In the current literature, the studies have paid attention to the surgical reduction of the slippage or in situ spinal fixation
technique. These studies have a lack of comparison between these variable techniques. Purpose: To define the role and benefits of reduction and stabilization of lumbar spondylolisthesis. Study Design: A retrospective clinical case study.
Patients and Methods: 24 patients with low grade isthmic lumbar spondylolisthesis between January 2008 and June 2010 were enrolled for this study. Patients were treated by slip reduction, interbody fusion with or without cage and internal pedicle screw fixation. All patients had back pain and radicular pain for at least one year pre-operatively. All patients were examined by plain radiographs, CT scan and MRI. Oswestry Disability Index (ODI) was used for pre and post-operative clinical assessment in all cases. Radiological assessment for bony fusion was done using plain radiography and CT scan. All patients were followed up both clinically and radiologically for at least one and half years. Results: The overall rate of neurological improvement after our procedures was 91%. Radicular pain improved earlier than back pain. Slip was reduced and satisfactory screw purchase was proved in all patients. Reported fusion rate was 92%. Operative and postoperative complications occurred in five patients but were minor and cured.
Conclusion: Reduction of lumbar spondylolisthesis improved the clinical manifestations, increased the fusion rate and speed the return to normal or near normal life activities. (2013ESJ044)

DOI

10.21608/esj.2013.3818

Keywords

lumbar spine, Spondylolisthesis, Reduction

Authors

First Name

Mohamed

Last Name

Eshra

MiddleName

-

Affiliation

Department of Neurosurgery, Faculty of Medicine, Alexandria University, Egypt.

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Orcid

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Volume

6

Article Issue

1

Related Issue

644

Issue Date

2013-04-01

Receive Date

2017-08-29

Publish Date

2013-04-01

Page Start

38

Page End

44

Print ISSN

2314-8950

Online ISSN

2314-8969

Link

https://esj.journals.ekb.eg/article_3818.html

Detail API

https://esj.journals.ekb.eg/service?article_code=3818

Order

6

Type

Original Article

Type Code

432

Publication Type

Journal

Publication Title

Egyptian Spine Journal

Publication Link

https://esj.journals.ekb.eg/

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Article

Created At

22 Jan 2023