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Increased Risk of Adjacent Segment Spondylolisthesis or Instability Following L5-S1 Versus L4-S1 Fixation for L5-S1 High-Grade Dysplastic Spondylolisthesis in Children.
Orthop Surg
January 2025
Department of Orthopedics, The First People's Hospital of Yangquan, Yangquan, China.
Objective: High-grade dysplastic spondylolisthesis (HGDS) is a relatively rare condition mainly involving the L5/S1 segment of the spine and occurring in children and adolescents. Whether surgical fixation should be L5-S1 monosegmental or extended up to L4 remains controversial. This study aimed to compare clinical outcomes and the risk of adjacent segment spondylolisthesis between L5-S1 monosegmental fixation and L4-S1 double-segmental fixation for pediatric HGDS.
View Article and Find Full Text PDFAn Acta Orthopaedica educational article: Treatment of pediatric spondylolysis and spondylolisthesis.
Acta Orthop
January 2025
Helsinki New Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Spondylolysis is defined as a defect or elongation in the pars interarticularis of the lumbar spine, either unilateral or bilateral. Growing children with bilateral spondylolysis may develop spondylolisthesis, i.e.
View Article and Find Full Text PDFLong-term reoperation risk of thoracic to pelvis instrumentation for spinal deformity: a longitudinal study of 7,062 patients.
Eur Spine J
December 2024
Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Article Synopsis
- The study aimed to assess the risk of reoperation in patients with spine deformities undergoing major surgeries from the thoracic to pelvis region over a 10-year period, using a large dataset.
- Out of 7,062 patients, the overall reoperation rate was found to be 23.2%, with specific rates of 16.9% at 2 years and 22.1% at 5 years; factors like preoperative kyphosis and extensive instrumentation were linked to higher risk.
- Key findings indicated that using interbody cages reduced reoperation risk, while age, medical conditions, and the presence of osteotomies did not significantly affect outcomes.
The Effect of Selective Dorsal Rhizotomy on Scoliosis in Children With Cerebral Palsy: A Long-term Follow-up Study.
J Pediatr Orthop
December 2024
BC Children's Hospital, Vancouver, BC.
Background: Selective dorsal rhizotomy (SDR) is commonly used to reduce spasticity in children with cerebral palsy (CP). Children with CP have an increased risk of spinal deformities that increase with age and Gross Motor Function Classification System (GMFCS) level. Few studies have considered the risk of spinal deformity post-SDR by GMFCS level.
View Article and Find Full Text PDFMagnetic resonance imaging (MRI) computed tomography (CT) in the diagnosis and classification of spondylolysis and spondylolisthesis-a narrative review.
Quant Imaging Med Surg
November 2024
Department of Radiology, Clínica Universidad de Navarra, Madrid, Spain.
Background And Objective: Spondylolysis is a lysis of the pars interarticularis, a component of the posterior arch of the vertebral body, in the face of repeated overuse and stress phenomena generally associated with sports in children and adolescent patients. This entity is one of the most common causes of low back pain in this age group. The diagnosis can be made using various imaging techniques, with computed tomography (CT) being considered the gold standard, as it provides the best visualization of the fracture, its extension and orientation, as well as an assessment of the entire bony skeleton.
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