5,707 results match your criteria: "Spondylolisthesis Spondylolysis and Spondylosis"
Early postoperative efficacy of a fully automated orthopedic robotic system-assisted percutaneous pedicle screw fixation for isthmic spondylolisthesis.
Comput Assist Surg (Abingdon)
December 2024
Division of Spine Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Article Synopsis
- The study evaluated the effectiveness of a robotic system for inserting pedicle screws in patients with isthmic spondylolisthesis, comparing it to traditional manual techniques. * Out of 20 patients analyzed, the robotic system showed higher accuracy in screw placement with 97.5% achieving Grade A accuracy, and also resulted in less blood loss and shorter hospital stays. * Both groups reported significant improvement in low back pain post-surgery, but the robotic method demonstrated advantages in operational efficiency and reduced surgical impact.
Decompression alone or fusion in single-level lumbar spinal stenosis with spondylolisthesis? A systematic review and meta analysis.
BMC Musculoskelet Disord
September 2024
Tianjin Medical University, Tianjin, 300070, China.
Article Synopsis
- The systematic review and meta-analysis aimed to evaluate the effectiveness and safety of two surgical options for patients with single-level lumbar spinal stenosis and spondylolisthesis: decompression alone versus decompression plus fusion.
- A total of 12 studies involving 6,182 patients were analyzed, revealing that the decompression alone group had shorter operation times and less blood loss, with no significant differences in reoperation rates or postoperative complications.
- The findings suggest that decompression alone is as effective as decompression with fusion, making it a viable option for treating this condition.
The disaggregation of the Oswestry Disability Index in patients undergoing lumbar surgery for degenerative lumbar spondylolisthesis.
Spine J
January 2025
Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Cornell Medicine, 525 East 71st Street, New York City, NY 10021, USA. Electronic address:
Article Synopsis
- - The Oswestry Disability Index (ODI) is a crucial tool for assessing the functional status of patients with lumbar spine issues and is used by surgeons to track progress post-surgery and compare different surgical methods.
- - This study aimed to evaluate the baseline characteristics and changes in ODI scores and their subsections over a 2-year period following elective surgery for degenerative lumbar spondylolisthesis, involving a retrospective analysis of 265 patients.
- - The analysis used statistical methods to assess changes in ODI scores before and after surgery, excluding patients without follow-up data, while also considering factors like age and BMI to understand their impact on outcomes.
The Effect of Radiological Assessment of Volunteers for French Paratrooper Training: A Five-Year Retrospective Study.
J Spec Oper Med
October 2024
French Military Health Service Academy, Bron, France.
Article Synopsis
- A study evaluated the necessity of strict radiological assessments for military airborne recruits, finding that many are rejected for conditions like scoliosis and kyphosis, which might not pose significant risks during airborne training.
- Over a five-year period, 3,993 X-rays were analyzed with only 66 recruits (1.6%) deemed unfit; however, many who received waivers did not experience back pain after 5 years of training.
- The research indicates that lower standards could be considered regarding scoliosis and kyphosis, as they are less critical compared to more severe conditions like grade II or III spondylolisthesis in determining suitability for airborne operations.
Does comorbid depression and anxiety portend poor long-term outcomes following surgery for lumbar spondylolisthesis? Five-year analysis of the Quality Outcomes Database.
J Neurosurg Spine
November 2024
1Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Objective: Depression and anxiety are associated with poor outcomes following spine surgery. However, the influence of these conditions on achieving a minimal clinically important difference (MCID) following lumbar spine surgery, as well as the potential compounding effects of comorbid depression and anxiety, is not well understood. This study explores the impact of comorbid depression and anxiety on long-term clinical outcomes following surgical treatment for degenerative lumbar spondylolisthesis.
View Article and Find Full Text PDF[A woman with pulmonary complaints after re-spondylodesis].
Ned Tijdschr Geneeskd
August 2024
MUMC+, afd. Longziekten, Maastricht.
Article Synopsis
- A 36-year-old woman with spondylolisthesis had a second spine surgery, called respondylodesis, 13 years after her first surgery on the L3-L4 vertebrae.
- The respondylodesis involved using screws and cement to stabilize her spine.
- One year later, she experienced lung issues, and tests showed that the cement used in her surgery had entered her lungs, causing a pulmonary cement embolism.
Segmental vertebral three-dimensional motion in patients with L4 isthmic spondylolisthesis under weight-bearing conditions.
J Orthop Surg Res
September 2024
Spinal Surgery Department of Mianyang Orthopedic Hospital, No. 158, Changhong Avenue South Section, Fucheng District, Mianyang, 621000, Sichuan Province, China.
Article Synopsis
- The study aimed to assess how vertebrae move in patients with isthmic spondylolisthesis (IS) during various weight-bearing activities by comparing them to healthy participants.
- Researchers used advanced imaging techniques to analyze the motion of vertebrae L4-L5 in both asymptomatic volunteers and patients, establishing specific local coordinate systems for precise measurements.
- The findings indicated that patients with IS experienced greater instability than healthy individuals, particularly during flexion, highlighting that standard radiographs may not accurately reflect the extent of their condition.
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.
Impact of lumbar spine pathology on asymmetrical hallux valgus in a population-based cohort study.
Sci Rep
August 2024
Department of Preventive Medicine for Locomotive Organ Disorders, 22nd Century Medical & Research Center, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Article Synopsis
- This study investigates how lumbar spine disorders, specifically scoliosis, affect the occurrence of asymmetric hallux valgus (HV) among participants in a nationwide study in Japan.
- The researchers categorized HV severity using radiographic angles and identified asymmetric HV as a difference of two or more severity grades between the left and right foot.
- Results showed that, out of 1997 participants, those with asymmetric HV had a higher incidence of lumbar issues, with scoliosis being a significant independent factor that increased the likelihood of asymmetric HV.
Objective: Lumbar decompression and/or fusion surgery is a common operation for symptomatic lumbar spondylolisthesis refractory to conservative management. Multiyear follow-up of patient outcomes can be difficult to obtain but allows for identification of preoperative patient characteristics associated with durable pain relief, improved functional outcome, and higher patient satisfaction.
Methods: A query of the Quality Outcomes Database (QOD) low-grade spondylolisthesis module for patients who underwent surgery for grade 1 lumbar spondylolisthesis (from July 2014 to June 2016 at the 12 highest-enrolling sites) was used to identify patient satisfaction, as measured with the North American Spine Society (NASS) questionnaire, which uses a scale of 1-4.
Can minimally invasive transforaminal lumbar interbody fusion achieve a better clinical and radiological outcome than traditional open technique in isthmic spondylolisthesis?
J Orthop Surg Res
August 2024
Orthopedic Department Faculty of Medicine, Zagazig University Hospital, Zagazig, Egypt.
Article Synopsis
- Spondylolisthesis is a common condition in the lower spine causing various pains and negatively affecting quality of life; the study aims to compare two surgical methods (MIS-TLIF and Open-TLIF) to see which is more effective in correcting spinal alignment and improving patient outcomes.* -
- The study involved 72 patients with low-grade isthmic spondylolisthesis over 18 months, assessing factors like disability, pain ratings, and spinal measurements before and after surgery.* -
- Results indicated that while both methods significantly reduced pain and disability, MIS-TLIF had less blood loss and shorter hospital stays, whereas Open-TLIF showed better early outcomes for leg pain; overall, both procedures
Patient-reported outcome of lumbar decompression with instrumented fusion for low-grade spondylolisthesis: influence of pathology and baseline symptoms.
Eur Spine J
October 2024
Department of Teaching, Research and Development, Spine Center Division, Schulthess Klinik, Zurich, Switzerland.
Introduction: Low-grade isthmic and degenerative spondylolisthesis (DS) of the lumbar spine are distinct pathologies but both can be treated with lumbar decompression with fusion. In a very large cohort, we compared patient-reported outcome in relation to the pathology and chief complaint at baseline.
Methods: This was a retrospective analysis using the EUROSPINE Spine Tango Registry.
Biomechanical changes of oblique lumbar interbody fusion with different fixation techniques in degenerative spondylolisthesis lumbar spine: a finite element analysis.
BMC Musculoskelet Disord
August 2024
Department of Orthopedics and Spine Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, Anhui, 230022, China.
Article Synopsis
- The study looks at how different surgery techniques for the spine affect its stability, particularly when treating a condition called degenerative lumbar spondylolisthesis.
- Researchers created computer models using CT scans to compare six methods: a basic OLIF, and OLIF combined with various types of screws.
- Results showed that the BCBT method was the best for keeping stress low and stability high, while the standalone OLIF had the most movement and stress overall.
Surgical Innovation: Comparative Efficacy of Navigation-Assisted Modified Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF) and Traditional MIS-TLIF in Treating Low-Grade Isthmic Spondylolisthesis in the Elderly.
World Neurosurg
November 2024
Second Department of Spinal Surgery, Weihaiwei People's Hospital, Weihai, Shandong, China. Electronic address:
Objective: To compare the efficacy of navigation-assisted modified minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and MIS-TLIF in the treatment of low-grade isthmic spondylolisthesis in the elderly.
Methods: We retrospectively included elderly patients with low-grade isthmic spondylolisthesis who underwent surgical treatment at our hospital from January 2019 to January 2022. Based on the surgical method chosen according to the patient's personal preference, the patients were divided into the modified MIS-TLIF group and the MIS-TLIF group.
Cost-effectiveness of posterior lumbar interbody fusion and/or transforaminal lumbar interbody fusion for grade 1 lumbar spondylolisthesis: a 5-year Quality Outcomes Database study.
J Neurosurg Spine
November 2024
9Department of Neurosurgery, University of Tennessee, Memphis, Tennessee.
Objective: Posterior lumbar interbody fusion (PLIF) and/or transforaminal lumbar interbody fusion (TLIF), referred to as "PLIF/TLIF," is a commonly performed operation for lumbar spondylolisthesis. Its long-term cost-effectiveness has not been well described. The aim of this study was to determine the 5-year cost-effectiveness of PLIF/TLIF for grade 1 degenerative lumbar spondylolisthesis using prospective data collected from the multicenter Quality Outcomes Database (QOD).
View Article and Find Full Text PDFDisparities in Surgical Intervention and Health-Related Quality of Life Among Racial/Ethnic Groups With Degenerative Lumbar Spondylolisthesis.
Neurosurgery
September 2024
Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Background And Objectives: Racial and socioeconomic disparities in spine surgery for degenerative lumbar spondylolisthesis persist in the United States, potentially contributing to unequal health-related quality of life (HRQoL) outcomes. This is important as lumbar spondylolisthesis is one of the most common causes of surgical low back pain, and low back pain is the largest disabler of individuals worldwide. Our objective was to assess the relationship between race, socioeconomic factors, treatment utilization, and outcomes in patients with lumbar spondylolisthesis.
View Article and Find Full Text PDFOblique lumbar interbody fusion combined with anterolateral screw fixation and stress endplate augmentation for treating degenerative lumbar spondylolisthesis with osteoporosis.
Eur Spine J
September 2024
Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, No. 37 GuoXue Rd, Chengdu, Sichuan, 610041, China.
Article Synopsis
- The study evaluates the effectiveness of Oblique lumbar interbody fusion (OLIF) combined with anterolateral screw fixation and Stress Endplate Augmentation (SEA) versus OLIF alone in treating degenerative lumbar spondylolisthesis in patients with osteoporosis.
- The results showed that the SEA group had significantly improved lower back pain, leg pain, and disability scores at 3 and 12 months post-surgery compared to the control group, with both groups showing similar fusion rates at 24 months.
- Overall, OLIF-AF-SEA was found to be a safe and promising surgical option, reducing cage subsidence rates and improving sagittal balance for patients with degenerative lumbar spondylolisthesis and osteoporosis
Pars Interarticularis and Pedicle Stress Injuries in Young Athletes With Low Back Pain: A Retrospective Cohort Study of 902 Patients Evaluated With Magnetic Resonance Imaging.
Am J Sports Med
August 2024
Division of Sports Medicine, Boston Children's Hospital, Harvard Medical School, Harvard University, Boston, Massachusetts, USA.
Article Synopsis
- Previous studies indicated that spondylolysis mainly affects the L5 and L4 levels, with minimal occurrences at higher levels, but recent findings show that MRI is as effective as CT for early detection without radiation risks.
- The hypothesis suggests that using MRI more frequently might uncover more cases of spondylolysis at upper spinal levels, which were underreported.
- A study investigated medical records of 902 young athletes, revealing that most stress injuries were lower lumbar, but 9.1% were found at or above the L3 level, highlighting the significance of sport participation and symptom duration.
Individualized Design Application of 3-Dimensional Printing Navigational Template for Pedicle Screw Installation: A Training Case Report.
Med Sci Monit
August 2024
Department of Spinal Surgery, Affiliated 4th Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
BACKGROUND The proper installation for pedicle screws by the traditional method of surgeons dependent on experience is not guaranteed, and educational solutions have progressed from chalkboards to electronic teaching platforms. We designed a case of 3-dimensional printing drill guide template as a surgical application, which can accurately navigate implantation of pedicle screws, and assessed its effect for simulative training. MATERIAL AND METHODS We randomly selected a set of computed tomography data for spondylolisthesis.
View Article and Find Full Text PDFThe Research on Spinopelvic Parameters and Clinical Outcomes of Oblique Lumbar Interbody Fusion and Transforaminal Lumbar Interbody Fusion in the Treatment of Complex Degenerative Lumbar Spondylolisthesis.
World Neurosurg
October 2024
Department of orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:
Article Synopsis
- The study aimed to compare the effectiveness of oblique lumbar interbody fusion (OLIF) and transforaminal lumbar interbody fusion (TLIF) in treating complex degenerative lumbar spondylolisthesis (CDLS) by examining spinopelvic parameters and clinical outcomes.
- A total of 71 patients underwent either OLIF (31 patients) or TLIF (40 patients) from January 2018 to December 2020, with results showing that OLIF had lower postoperative C-reactive protein levels, shorter hospital stays, and better correction rates of slippage compared to TLIF.
- OLIF also demonstrated better long-term improvements in spinopelvic parameters, such as lumbar lordosis angle and pelvic
Article Synopsis
- About one-third of cervical spine injuries happen in the upper section, specifically between the base of the skull (occiput) and the second cervical vertebra, with 70% of injuries occurring at this location.
- Types of injuries in this area include atlas fractures, occipital condyle fractures, and injuries to ligaments associated with the upper cervical spine.
- Treatment options range from conservative therapy for stable injuries to surgical intervention for unstable cases, with the article covering details on injury frequency, diagnosis, classification, and standard treatment methods.
Surgery for spinal stenosis with degenerative spondylolisthesis.
BMJ
August 2024
Department of Orthopaedics, Orebro University Hospital, Orebro, Sweden
Decompression alone or with fusion for degenerative lumbar spondylolisthesis (Nordsten-DS): five year follow-up of a randomised, multicentre, non-inferiority trial.
BMJ
August 2024
Kysthospitalet in Hagevik, Orthopaedic Department, Haukeland University Hospital, Bergen, Norway
Objective: To assess whether decompression alone is non-inferior to decompression with instrumented fusion five years after primary surgery in patients with degenerative lumbar spondylolisthesis.
Design: Five year follow-up of a randomised, multicentre, non-inferiority trial (Nordsten-DS).
Setting: 16 public orthopaedic and neurosurgical clinics in Norway.
Cervical facet joint degeneration, facet joint angle, and paraspinal muscle degeneration are correlated with degenerative cervical spondylolisthesis at C4/5: a propensity score-matched study.
Spine J
December 2024
Department of Spine Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China. Electronic address:
Background Context: Prior studies have hypothesized that degenerative cervical spondylolisthesis (DCS) may be influenced by loss of stability due to disc, facet joint or cervical alignment. Meanwhile, it is commonly believed that the facet joints and paraspinal muscles participate in maintaining cervical spine stability. However, the impact of paraspinal muscle morphology and detailed facet joint features on DCS requires further investigation.
View Article and Find Full Text PDFLumbar Spondylolisthesis Grading: Current Standards and Important Factors to Consider for Management.
World Neurosurg
October 2024
Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Spondylolisthesis is a common condition with a prevalence of 4-6% in childhood and 5-10% in adulthood. The Meyerding Classification, developed in 1932, assigns grades (I to V) based on the degree of slippage observed on standing, neutral lateral lumbar radiographs. Despite its historical significance and reliability, more factors should be evaluated to predict spondylolisthesis progression, especially in low-grade cases.
View Article and Find Full Text PDF