1,081 results match your criteria: "Lumbosacral Spondylolysis"
Article Synopsis
- The study highlights the benefits of lateral indirect decompression over traditional posterior approaches for treating low-grade spondylolisthesis, demonstrating that it can effectively release nerves with fewer complications using minimally invasive techniques and intraoperative neuromonitoring.
- A total of 20 patients underwent the minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) from 2022 to March 2024, with impressive postoperative results, including significant reductions in back and leg pain, and a successful correction of spondylolisthesis.
- Follow-up data showed a mean operation time of about 81 minutes, minimal blood loss, and a short hospital stay, with 75% of patients rated
Correlations Between Facet Tropism, Joint Mobility and Degree of Displacement in Patients with Low Grade Spondylolisthesis.
Turk Neurosurg
November 2024
University of São Paulo, University Hospital of Ribeirão Preto Medical School, Division of Neurosurgery, Brazil.
Aim: To compare lumbar X-ray and magnetic resonance imaging (MRI) findings, and to identify the factors associated with joint instability in cases with lumbar spondylolisthesis.
Material And Methods: We performed a retrospective and observational study of patients with a confirmed diagnosis of lumbar or lumbosacral low-grade spondylolisthesis at a single level. Preoperative X-ray and MRI examinations were evaluated.
Characteristics of Lumbar Pars Interarticularis and Pedicle Stress Injuries by Sport in 902 Pediatric and Adolescent Athletes: A Retrospective Study.
Am J Sports Med
November 2024
Division of Sports Medicine, Department of Orthopedics and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Article Synopsis
- Research indicates a higher prevalence of upper lumbar spondylolysis in young athletes than previously thought, highlighting a lack of sport-specific studies on this condition.
- The study aimed to identify risk factors associated with upper lumbar stress injuries in pediatric and adolescent athletes by reviewing medical records from two academic centers.
- Results showed that the majority of diagnosed athletes had lower level injuries, while a smaller percentage experienced upper level injuries, which were linked to being older at diagnosis and shorter durations of low back pain.
Free Vascularized Scapula tip Flap to L5-S1 Vertebral Defect After Chronic Infection Related to Interbody Fusion Cage: A Case Report.
Microsurgery
October 2024
Spine Section, Orthopedic Department, Akademiska University Hospital, Uppsala, Sweden.
Article Synopsis
- - Septic nonunion after vertebral fusion can cause significant disability, often requiring surgery, bone fixation, and antibiotics for management.
- - A novel treatment was applied in a case involving a 31-year-old man who had severe back pain and developed a septic nonunion after multiple surgical fusions; a scapula tip free flap was used to reconstruct his L5-S1 vertebral defect.
- - The patient's surgery, which included connecting blood vessels through an intra-abdominal method, was successful, leading to a pain-free recovery and fusion at the defect site after one year, highlighting the scapula tip flap as a potential option for similar spinal reconstructions.
Risk Factors for Nonunion After Nonoperative Treatment for Pediatric Lumbar Spondylolysis: A Retrospective Case-Control Study.
Am J Sports Med
September 2024
Department of Orthopedic Surgery, Anshin Hospital, Kobe, Japan.
Background: Pediatric lumbar spondylolysis, a stress fracture of the lumbar spine, frequently affects young athletes, and nonoperative treatment is often the first choice of management. Because the union rate in lumbar spondylolysis is lower than that in general fatigue fractures, identifying risk factors for nonunion is essential for optimizing treatment.
Purpose: To determine the risk factors for nonunion after nonoperative treatment of acute pediatric lumbar spondylolysis through multivariate analysis.
Pediatric Lumbosacral Spondylolisthesis: Overcoming the Disability!
Neurol India
July 2024
Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Article Synopsis
- Congenital spondylolisthesis is a condition in which there is a defect in the spine, often affecting children and characterized by varying degrees of spinal misalignment mostly at the L5-S1 region.
- A study analyzed 22 patients over three years, finding that most had high-grade listhesis and reported significant improvements in pain and disability after surgical intervention.
- The research concluded that while surgery is challenging, it can effectively alleviate symptoms, with non-reductive fixation being a viable option in certain cases to prevent complications during surgery.
The radio anatomical arrangement of nerve roots at L3 level in cauda equina sac is it affected by diseases?
Medicine (Baltimore)
June 2024
Department of Surgery/Orthopedic, Al-Iraqia University, College of Medicine, Adhamyia, Iraq.
Article Synopsis
- A study was conducted to identify common conditions affecting the lumbosacral area through MRI examinations, observing the position and number of nerve roots in patients.
- The study focused on comparing normal cases to five specific conditions: single-level lumbar disc prolapse, multiple disc prolapse, multiple bulge, spinal stenosis, and spondylolisthesis, specifically around L3, noting significant differences in nerve root counts.
- Results indicated that the severity of conditions had a proportional relationship with nerve root changes, showing a marked increase in significance from single-level issues to more complex diseases like spondylolisthesis.
Unraveling the Link of Altered TGFβ Signaling with Scoliotic Vertebral Malformations in Osteogenesis Imperfecta: A Comprehensive Review.
J Clin Med
June 2024
Third Department of Orthopaedic Surgery, School of Medicine, National and Kapodistrian University of Athens, "KAT" General Hospital, Nikis 2, 14561 Athens, Greece.
Article Synopsis
- * Scoliosis in OI patients is characterized by various vertebral deformities like wedged vertebrae and abnormalities at the craniocervical junction, and its progression is linked to reduced Bone Mineral Density and multiple contributing factors such as mechanical strain and bone metabolism anomalies.
- * Investigating the molecular mechanisms, particularly the role of Transforming Growth Factor-β (TGFβ) signaling, offers potential insights for new therapeutic strategies targeting the bone and muscle challenges faced by OI patients.
Influence of slippage reduction and correction of lumbosacral kyphosis by single-level posterior lumbar interbody fusion on spinal alignment in patients with dysplastic spondylolisthesis.
Spine Deform
November 2024
Department of Orthopaedic Surgery, Keio University School of Medicine, 35 Shinanomachi Shinjuku-Ku, Tokyo, 1608582, Japan.
Article Synopsis
- The study examines the effects of L5-S1 single-level PLIF surgery on spinal alignment and patient outcomes in individuals with dysplastic spondylolisthesis.* -
- Results showed significant improvements in clinical scores (JOA and VAS) for back and leg pain, as well as reductions in slip percentage and lumbosacral angle post-surgery.* -
- The findings suggest that correcting lumbosacral kyphosis correlates positively with postoperative pelvic tilt, enhancing overall spinal alignment.*
Buck technique supplemented by temporary intersegmental pedicle screw fixation to repair lumbar spondylolysis in youth.
J Orthop Surg Res
June 2024
Department of Orthopaedics, The First Affiliated Hospital of Bengbu Medical University, 287 Changhuai Road, Bengbu, 233004, China.
Article Synopsis
- - Lumbar spondylolysis is a common condition in young people that leads to low back pain, often managed with non-surgical treatments; however, surgery may be required for persistent cases.
- - A new surgical method combining Buck technique with temporary intersegmental pedicle screw fixation was proposed for patients who did not respond to conservative treatment.
- - In a study of 5 young patients, this procedure led to successful outcomes with significant improvement in pain and disability scores, while also maintaining lumbar motion and promoting healing without major complications.
Isolated decompression for degenerative spondylolisthesis is less costly than fusion even with high revision rates.
Spine J
September 2024
Hospital for Special Surgery, New York, NY, USA. Electronic address:
Article Synopsis
- Isolated decompression is a cost-effective surgical option for lumbar spondylolisthesis with similar patient satisfaction compared to fusion, but it has a higher chance of needing reoperation.
- The study analyzed costs associated with three surgical options for degenerative spondylolisthesis: primary decompression, primary fusion, and decompression with fusion, using data from Medicare.
- Results showed that primary decompression was significantly cheaper ($14,690) than both primary fusion ($26,376) and revision fusion ($26,686), leading to an investigation of how often reoperations would still make decompression the more economical choice.
Clinical and radiological outcomes of gradual reduction and circumferential fusion of high-grade spondylolisthesis in adolescents: a prospective cohort study of 29 young patients.
Spine Deform
September 2024
CHU Sainte-Justine Hospital, 3175 Côte Sainte-Catherine, Montréal, QC, H3T 1C5, Canada.
Article Synopsis
- The study aimed to assess the safety and effectiveness of a new method for correcting high-grade spondylolisthesis (HGS) in kids through formal reduction and circumferential fusion.
- It involved 29 children, and their results were measured using various radiographic analyses and quality of life assessments before and after surgery.
- The findings indicated a significant reduction in slip percentage and improvements in radiological measurements and overall quality of life, suggesting that the procedure is safe and beneficial for young patients with HGS.
Risk factors for early-onset adjacent segment degeneration after one-segment posterior lumbar interbody fusion.
Sci Rep
April 2024
Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui, 910-1193, Japan.
Article Synopsis
- Adjacent segment degeneration (ASD) is a common complication after posterior lumbar interbody fusion (PLIF), with early-onset ASD differing from late-onset forms.
- A study on 170 patients with L4 degenerative spondylolisthesis found a 20.6% rate of early-onset ASD within 2 years post-surgery, linked to specific risk factors.
- Key risk factors identified include preoperative larger % slip, vertebral bone marrow edema on preoperative MRI (odds ratio 16.8), and significant surgical disc space distraction, emphasizing the importance of careful assessment before fusion surgery.
Instrumented L5-S1 interbody graft with IFUSE implant using the reverse Bohlman technique.
Neurochirurgie
July 2024
Spine Institute, Clinique Charcot, 51 rue Commandant Charcot, 69110, Sainte-Foy-lès-Lyon, France.
Article Synopsis
- The study explores the use of an IFUSE implant as a potential alternative to a fibular graft in performing anterior lumbosacral fusions, particularly in cases with a high sacral slope, using a reversed Bohlman technique. * Two case studies are presented: a 38-year-old woman with interbody pseudarthrosis and a 69-year-old woman with degenerative scoliosis, both of whom successfully underwent the procedure with no complications reported within six months. * The findings indicate that this innovative, minimally invasive approach not only improves surgical outcomes but also reduces the risk of complications; however, further long-term studies and larger sample sizes are needed for better validation.
Lumbosacral transitional vertebra in spondylolisthesis: frequency, demographic findings, and clinical characteristics.
BMC Musculoskelet Disord
March 2024
Department of Neurosurgery, School of Medicine, Neurosciences Research Center, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Article Synopsis
- The study explored the link between lumbosacral transitional vertebrae (LSTV) and spondylolisthesis in patients undergoing surgery, aiming to understand differences based on frequency, age, gender, and clinical signs.
- It involved 219 patients, revealing a notable female predominance in the sacralization group and a significant association between sacralization and higher grades of spondylolisthesis.
- Findings suggest that sacralization contributes to a higher risk of severe vertebral slip and related motor deficits, particularly at the L4-L5 level.
Restoration of Spinopelvic Alignment After Reduction of High-grade Spondylolisthesis: Myth or Reality? A Systematic Review of the Literature and Meta-analysis.
Clin Spine Surg
December 2024
Department of Biomedical and Neuromotor Science, IRCCS Istituto Ortopedico Rizzoli, DIBINEM, 1st Orthopaedic and Traumatologic Clinic, University of Bologna, Bologna, Italy.
Article Synopsis
- The study is a systematic review and meta-analysis focusing on how correcting lumbosacral kyphosis can affect high-grade spondylolisthesis (HGS), which involves significant vertebral displacement and a kyphotic deformity.
- Results from 18 studies showed a significant decrease in pelvic tilt and an increase in sacral slope post-surgery, although changes in lumbar lordosis and thoracic kyphosis were not statistically significant.
- The findings suggest that while there are mild changes in certain spinal parameters after HGS reduction, the clinical significance of these changes is still uncertain.
Epidemiology of Spondylolisthesis: A Nationwide Study From 2001 to 2016 in the Italian Population.
Clin Spine Surg
August 2024
Fondazione Policlinico Campus Bio-Medico, Via Alvaro del Portillo, Rome.
Article Synopsis
- The study focused on the annual incidence and patient characteristics of spondylolisthesis surgeries in Italy, based on data from the National Hospital Discharge Reports from 2001 to 2016.
- A total of 55,804 admissions were analyzed, revealing a cumulative incidence of 6.8 surgeries per 100,000 adults, with older age groups, particularly females aged 65-69, being most affected.
- The findings emphasized the significant socioeconomic impact of spondylolisthesis, noting that it primarily affects working-age individuals and that hospital stays decreased over the study period.
Treatment of refractory low back pain due to arthrosis of the lumbar spine with or without spondylolisthesis using anterior lumbar interbody fusion (ALIF).
Rev Assoc Med Bras (1992)
March 2024
Guidelines Program of the Brazilian Medical Association - São Paulo (SP), Brazil.
Comparative Analysis of Three Posterior-Only Surgical Techniques for Isthmic L5-S1 Spondylolisthesis.
J Am Acad Orthop Surg
May 2024
From the Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO ( Klawson, Buchowski, Singleton, and Feger), Department of Surgery, Faculty of Medicine, Division of Neurosurgery, Thammasat University, Thailand (Punyarat), and the Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA (Theologis).
Objective: To compare adults with isthmic L5-S1 spondylolisthesis who were treated with three different surgical techniques: PS-only, TS, and transforaminal lumbar interbody fusion/posterior lumbar interbody fusion (TLIF/PLIF).
Methods: This is a retrospective analysis of adults with L5-S1 isthmic spondylolisthesis (grade ≥2) who underwent primary all-posterior operations with pedicle screws. Patients were excluded if they had <1 year follow-up, anterior approaches, and trans-sacral fibular grafts.
Article Synopsis
- * A rare case is presented where a middle-aged man had all three conditions at once, leading to his chronic low back pain and resistance to conservative treatment.
- * The patient underwent a successful minimally invasive lumbosacral fusion, which relieved his symptoms immediately and showed no recurrence after six months, highlighting this approach as a viable option for similar cases.
Is it necessary to extend fusion to L4 when correcting pediatric L5-S1 spondylolisthesis?
J Neurosurg Spine
May 2024
1Department of Orthopedics, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, PR China.
Article Synopsis
- The study aimed to determine if fusing the L4 vertebra is essential for treating pediatric patients with L5-S1 spondylolisthesis during lumbar surgery.
- 68 pediatric patients were analyzed, split into two groups based on whether they had fusion extending to L4 or stopping at L5, with various radiographic and surgical data collected for comparison.
- Results showed that though postoperative outcomes were generally similar, the L5 group had a significantly higher rate of adjacent-segment instability, raising questions about the necessity of including L4 in such surgical procedures.
Sagittal Alignment in the Degenerative Lumbar Spine: Surgical Planning.
J Bone Joint Surg Am
March 2024
Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island.
➤ Sagittal alignment of the spine has gained attention in the field of spinal deformity surgery for decades. However, emerging data support the importance of restoring segmental lumbar lordosis and lumbar spinal shape according to the pelvic morphology when surgically addressing degenerative lumbar pathologies such as degenerative disc disease and spondylolisthesis.➤ The distribution of caudal lordosis (L4-S1) and cranial lordosis (L1-L4) as a percentage of global lordosis varies by pelvic incidence (PI), with cephalad lordosis increasing its contribution to total lordosis as PI increases.
View Article and Find Full Text PDFCharacteristics of lumbar spondylolysis: L5 versus non-L5.
BMC Musculoskelet Disord
January 2024
Department of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Background: Fifth lumbar vertebra (L5) spondylolysis has a lower bone union rate than non-L5 spondylolysis, but the reason for this is unknown. This study aimed to evaluate the differences in patient and lesion characteristics between L5 and non-L5 spondylolysis.
Methods: A total of 410 patients with lumbar spondylolysis aged 18 years or younger who were treated conservatively were enrolled.
Minimally Invasive Surgery for Managing Grade IV and V Spondylolisthesis.
Asian J Neurosurg
September 2023
Department of Neurologic Sugery, Pontificia Universidad Javeriana, Neurosurgery Research Group, NeuroAxis SAS, Bogota D.C., Colombia.
Surgical treatment of high-grade spondylolisthesis is controversial and aims at restoring the spinopelvic sagittal balance through complete or partial reduction of the listhesis. Nerve decompression and interbody fusion are necessary for patients presenting with neurological deficit, severe pain, lower limb asymmetry, or deformities. We present the case and the results of a patient with high-grade spondylolisthesis, in whom minimally invasive management was performed.
View Article and Find Full Text PDFThe Relationship Between Endplate Defect Scores and Lumbar Sagittal Translation Stability in Lumbar Spondylolisthesis Patients.
World Neurosurg
January 2024
Department of Spine Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China. Electronic address:
Background: Lumbar instability and endplate defects are commonly seen in patients with spondylolisthesis. However, little is known about associations between segmental stability and endplate defects. The present study explored associations between stability-related radiographic parameters and endplate defect scores and assessed whether endplate defect scores can predict lumbar stability in lumbar spondylolisthesis.
View Article and Find Full Text PDF