5,713 results match your criteria: "Spondylolisthesis Spondylolysis and Spondylosis"

Objective: Deficiency in patient education has been correlated with increased disease-related morbidity and decreased access to care. However, the associations between educational level, preoperative disease severity, and postoperative outcomes in patients with lumbar spondylolisthesis have yet to be explored.

Methods: The spondylolisthesis dataset of the Quality Outcomes Database (QOD)-a cohort with prospectively collected data by the SpineCORe study team of the 12 highest enrolling sites with an 81% follow-up at 5 years -was utilized and stratified for educational level.

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Article Synopsis
  • - The study is a retrospective cohort analysis aimed at determining if the L1 pelvic angle (L1PA) can predict quality of life outcomes one year after lumbar fusion surgery for degenerative spondylolisthesis in adults.
  • - Researchers grouped patients based on their preoperative and postoperative L1PA measurements and compared patient-reported outcomes (PROMs) along with radiographic data, finding correlations with pelvic parameters but no significant differences in quality of life outcomes.
  • - The conclusion suggests that while L1PA shows some correlations with pelvic measurements, it does not significantly distinguish quality of life improvements post-surgery, indicating further exploration is needed on its utility in these patients.
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Purpose: In this study we aimed to identify whether paraspinal muscle morphology could play a role in surgical decision-making in patients with lumbar spondylolisthesis.

Methods: We conducted a cross-sectional analysis of a prospectively collected database between January 2013 and May 2023. Consecutive women and men, who visited our outpatient clinics with chronic LBP, neurogenic claudication, and had lumbar spine magnetic resonance imaging (MRI) for their complaints were included into the preliminary dataset.

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  • This study is a case-control research aimed at creating a classification system for different types of degenerative changes and failures at the proximal junction after spinal surgery.
  • The system outlines four degeneration types: Type 1 (multilevel symmetrical collapse), Type 2 (single adjacent level collapse), Type 3 (fracture), and Type 4 (spondylolisthesis), based on data from patients who had spinal fusion.
  • Findings reveal that degeneration affects nearly half of the patients, with Type 3 having the shortest time before needing revision surgery, while Type 1 shows the lowest revision rate, indicating varying risks associated with each type.
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Objective: This study analyzed and explored the relationship between isthmic spondylolisthesis and disc degeneration by comparing the degree of disc degeneration in patients with isthmic spondylolisthesis, lumbar disc herniation, and asymptomatic healthy individuals.

Methods: This study included a total of 138 cases, consisting of L5-S1 single segment lesion patients and a normal lumbar spine population. The cases were divided into 3 groups based on the type of disease: fifty eight cases in the isthmic spondylolisthesis (IS) group, 50 cases in the lumbar disc herniation (LDH) group, and 30 cases in the normal lumbar vertebrae (NLV) group.

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Article Synopsis
  • Lumbar spinal stenosis (LSS) and spondylolisthesis (SPL) are similar degenerative spinal conditions that have different recommendations regarding exercise, making it challenging to study the impact of physical activity on them.
  • This study examined the effects of restricted physical activity due to social distancing during the pandemic on healthcare visits and costs for patients with LSS and SPL, comparing data from the pandemic period to pre-pandemic.
  • Results showed a significant decrease in hospital visits for both LSS and SPL patients after the implementation of social distancing, with LSS patients also experiencing a notable reduction in medical costs, while SPL patients did not see a significant change in costs.
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Article Synopsis
  • The study aimed to compare the muscle structure of paraspinal muscles in patients with degenerative spondylolisthesis (DS), isthmic spondylolisthesis (IS), and healthy individuals.
  • Researchers measured factors like cross-sectional area and fatty infiltration in these muscles, with a focus on differences based on occupation (workers vs. farmers).
  • Results showed that both DS and IS patients had atrophy in the multifidus muscle compared to healthy individuals, but IS patients also exhibited hypertrophy in the erector spinae muscle, highlighting the need for tailored surgical approaches based on muscle morphology variations in spondylolisthesis types.
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[Slipped vertebrae (Spondylolysis): the underestimated weak point of the (pre)professional football player-an algorithm].

Orthopadie (Heidelb)

June 2024

Klinik für Wirbelsäulenchirurgie, Neurochirurgie und Spezielle Orthopädie Rhein-Maas Klinikum GmbH, Würselen, Deutschland.

Background: Isthmic spondylolysis represents the most common cause of spinal pain in adolescent athletes. This article provides an overview of the classification, diagnosis, and treatment options for these conditions, including conservative and operative measures. It also provides a treatment pathway to how young athletes with spondylolysis should be treated.

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Background: The rise of minimally invasive lumbar fusions and advanced imaging technologies has facilitated the introduction of novel surgical techniques with the trans-facet approach being one of the newest additions. We aimed to quantify any pathology-driven anatomic changes to the trans-facet corridor, which could thereby alter the ideal laterality of approach to the disc space.

Methods: In this retrospective cohort study, we measured the areas and maximum permissible cannula diameters of the trans-facet corridor using commercially available software (BrainLab, Munich, Germany).

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Objective: To compare the effectiveness of unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) and endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) in the treatment of single-segment degenerative lumbar spinal stenosis with lumbar spondylolisthesis.

Methods: Between November 2019 and May 2023, a total of 81 patients with single-segment degenerative lumbar spinal stenosis with lumbar spondylolisthesis who met the selection criteria were enrolled. They were randomly divided into UBE-TLIF group (39 cases) and Endo-TLIF group (42 cases).

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Article Synopsis
  • This study compared the surgical and clinical outcomes of two procedures—minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) and midline lumbar interbody fusion (MIDLIF)—in patients with spondylolisthesis.
  • Results showed that while both procedures had similar fusion rates and recovery times, MIDLIF was associated with a shorter operation time and lower pain scores post-surgery compared to MIS TLIF.
  • Additionally, the MIS TLIF group experienced a higher rate of facet joint violations, while other complications were similar across both groups.
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Background: The comparative effectiveness of decompression plus lumbar facet arthroplasty versus decompression plus instrumented lumbar spinal fusion in patients with lumbar spinal stenosis and grade-I degenerative spondylolisthesis is unknown.

Methods: In this randomized, controlled, Food and Drug Administration Investigational Device Exemption trial, we assigned patients who had single-level lumbar spinal stenosis and grade-I degenerative spondylolisthesis to undergo decompression plus lumbar facet arthroplasty (arthroplasty group) or decompression plus fusion (fusion group). The primary outcome was a predetermined composite clinical success score.

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Spondylolisthesis is defined as the displacement or misalignment of the vertebral bodies one on top of the other. It comes from the Greek spondlylos, which means vertebra, and olisthesis, which means sliding on a slope. The nomenclature used to refer to spondylolisthesis consists of the following elements: vertebral segment (vertebrae involved), degree of sliding of one vertebral body over the other, the position of the upper vertebral body with respect to the lower one (anterolisthesis/retrolisthesis), and finally the etiology [1].

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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.
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Hiatal hernias continue to be fairly common in clinical practice. However, the variety of different symptoms presented by patients may hinder establishing the ultimate diagnosis. Nevertheless, currently, the diagnosis of hiatal hernia can be easily established, based on barium swallow radiography.

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Article Synopsis
  • The study investigated the effects of the OLIF surgical technique on spinal-pelvic alignment and its relationship with clinical outcomes in patients with degenerative lumbar spondylolisthesis.
  • A total of 43 patients were analyzed, with significant improvements observed in pain levels and disability scores after surgery, indicating successful outcomes (P < .05).
  • Pearson correlation analysis showed a positive relationship between changes in specific spinal parameters (like LL and FH) and improvements in clinical scores (VAS and ODI), suggesting that surgical success leads to better alignment and patient outcomes.
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Article Synopsis
  • The study used a retrospective cohort design to find factors that predict slower or no improvement after surgery for L4-5 degenerative lumbar spondylolisthesis (DLS).
  • It focused on various clinical and radiological measures, assessing a range of predictor variables including patient demographics, comorbidities, and specific surgical outcomes over a minimum of 1 year.
  • Key findings showed that certain factors like pelvic tilt, depression, VAS leg scores, and facet orientation impacted improvement outcomes both in the short and long term after surgery.
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Three Stages on Magnetic Resonance Imaging of Lumbar Degenerative Spine.

World Neurosurg

July 2024

Department of Orthopedic Surgery, Spine Center, Changzheng Hospital, Naval Medical University, Shanghai, People's Republic of China. Electronic address:

Purposes: To propose a new lumbar degenerative staging system using the current radiological classification system.

Methods: A cross-sectional analysis of retrospective databases between January 2018 and December 2022 was performed. Total of 410 patients for Modic changes, paravertebral muscle fat infiltration, disc degeneration, articular process degeneration, vertebral endplate degeneration and other structures, and disc displacement, Spondylolisthesis, and stenosis, and grouped patients according to stage were assessed.

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Objective: In this study, the authors aimed to determine the mid- to long-term outcomes of microendoscopic laminotomy (MEL) for lumbar spinal stenosis (LSS) with degenerative spondylolisthesis (DS) and identify preoperative predictors of poor mid- to long-term outcomes.

Methods: The authors retrospectively reviewed the medical records of 274 patients who underwent spinal MEL for symptomatic LSS. The minimum postoperative follow-up duration was 5 years.

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Objective: In the treatment of lumbar degenerative spondylolisthesis (LDS) with Posterior lumbar interbody fusion (PLIF) surgery, interbody fusion implants play a key role in supporting the vertebral body and facilitating fusion. The objective of this study was to assess the impact of implantation depth on sagittal parameters and functional outcomes in patients undergoing PLIF surgery.

Methods: This study reviewed 128 patients with L4-L5 LDS between January 2016 and August 2019.

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A Comparison of 2 Cage Sizes in Biportal Endoscopic Transforaminal Lumbar Interbody Fusion.

Clin Spine Surg

December 2024

Department of Orthopedic Surgery, Michigan Orthopedic Surgeons, Southfield, MI.

Study Design: Retrospective study.

Objective: This study compared the fusion and subsidence rate and clinical outcomes when using different-sized static PEEK cages in BE-TLIF.

Summary Of Background Data: Biportal endoscopic techniques for transforaminal lumbar interbody fusion (BE-TLIF) have been shown to have similar clinical and fusion outcomes with faster clinical recovery in comparison to tubular surgery.

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