Skip to main content
Top
Published in: European Spine Journal 9/2005

01-11-2005 | Original Article

A concise follow-up of a previous report: posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis

Authors: M. Spruit, J. P. W. van Jonbergen, M. de Kleuver

Published in: European Spine Journal | Issue 9/2005

Login to get access

Abstract

We report the updated results for a previously evaluated surgical treatment for adult low-grade isthmic spondylolisthesis. In 12 patients a decompressive laminectomy was performed followed by a circumferential fusion using posterior pedicle screw instrumented reduction and staged anterior cage-assisted interbody fusion. Average time to follow-up was 5.6 (range 4.9–6.6) years. The average Oswestry Disability Index at last follow-up was 14 compared to 13 at 2.1-year follow-up. The average VAS score for back pain at last follow-up was 2.3 compared to 2.8 at 2.1-year follow-up. Ten patients had resumed their pre-symptom work status. This study demonstrates maintenance of the good clinical and radiological 2.1-year outcome after 5.6-year follow-up with no deterioration of back-pain scores.
Literature
1.
go back to reference Bernicker JP, Kohl HW III, Sahni I, Esses SI (1999) Long-term functional and radiographic follow-up of surgically treated isthmic spondylolisthesis. Am J Orthop 28:631–636PubMed Bernicker JP, Kohl HW III, Sahni I, Esses SI (1999) Long-term functional and radiographic follow-up of surgically treated isthmic spondylolisthesis. Am J Orthop 28:631–636PubMed
2.
go back to reference Chen CS, Cheng CK, Liu CL, Lo WH (2001) Stress analysis of the disc adjacent to interbody fusion in lumbar spine. Med Eng Phys 23:483–491CrossRefPubMed Chen CS, Cheng CK, Liu CL, Lo WH (2001) Stress analysis of the disc adjacent to interbody fusion in lumbar spine. Med Eng Phys 23:483–491CrossRefPubMed
3.
go back to reference Chow DH, Luk KD, Evans JH, Leong JC (1996) Effects of short anterior lumbar interbody fusion on biomechanics of neighboring unfused segments. Spine 21:549–555CrossRefPubMed Chow DH, Luk KD, Evans JH, Leong JC (1996) Effects of short anterior lumbar interbody fusion on biomechanics of neighboring unfused segments. Spine 21:549–555CrossRefPubMed
4.
go back to reference Fritzell P, Hagg O, Wessberg P, Nordwall A (2002) Chronic low back pain and fusion: a comparison of three surgical techniques: a prospective multicenter randomized study from the Swedish lumbar spine study group. Spine 27:1131–1141CrossRefPubMed Fritzell P, Hagg O, Wessberg P, Nordwall A (2002) Chronic low back pain and fusion: a comparison of three surgical techniques: a prospective multicenter randomized study from the Swedish lumbar spine study group. Spine 27:1131–1141CrossRefPubMed
5.
go back to reference Goto K, Tajima N, Chosa E, Totoribe K, Kubo S, Kuroki H, Arai T (2003) Effects of lumbar spinal fusion on the other lumbar intervertebral levels (three-dimensional finite element analysis). J Orthop Sci 8:577–584CrossRefPubMed Goto K, Tajima N, Chosa E, Totoribe K, Kubo S, Kuroki H, Arai T (2003) Effects of lumbar spinal fusion on the other lumbar intervertebral levels (three-dimensional finite element analysis). J Orthop Sci 8:577–584CrossRefPubMed
6.
go back to reference Ishihara H, Osada R, Kanamori M, Kawaguchi Y, Ohmori K, Kimura T, Matsui H, Tsuji H (2001) Minimum 10-year follow-up study of anterior lumbar interbody fusion for isthmic spondylolisthesis. J Spinal Disord 14:91–99CrossRefPubMed Ishihara H, Osada R, Kanamori M, Kawaguchi Y, Ohmori K, Kimura T, Matsui H, Tsuji H (2001) Minimum 10-year follow-up study of anterior lumbar interbody fusion for isthmic spondylolisthesis. J Spinal Disord 14:91–99CrossRefPubMed
7.
go back to reference McAfee C (1999) Interbody fusion cages in reconstructive operations on the spine. J Bone Joint Surg Am 81:859–880PubMed McAfee C (1999) Interbody fusion cages in reconstructive operations on the spine. J Bone Joint Surg Am 81:859–880PubMed
8.
go back to reference Pavlov PW, Meijers H, van Limbeek J, Jacobs WCH, Lemmens JAM, Obradov-Rajic M, de Kleuver M (2004) Good outcome and restoration of lordosis after anterior lumbar interbody fusion and additional posterior fixation. Spine 29:1893–1899CrossRefPubMed Pavlov PW, Meijers H, van Limbeek J, Jacobs WCH, Lemmens JAM, Obradov-Rajic M, de Kleuver M (2004) Good outcome and restoration of lordosis after anterior lumbar interbody fusion and additional posterior fixation. Spine 29:1893–1899CrossRefPubMed
9.
go back to reference Penta M, Sandhu A, Fraser RD (1995) Magnetic resonance imaging assessment of disc degeneration 10 years after anterior lumbar interbody fusion. Spine 20:743–747PubMed Penta M, Sandhu A, Fraser RD (1995) Magnetic resonance imaging assessment of disc degeneration 10 years after anterior lumbar interbody fusion. Spine 20:743–747PubMed
10.
go back to reference Silva MT, Hilibrand AS (2003) The surgical management of isthmic (spondylotic) spondylolisthesis. Semin Spine Surg 15:160–166 Silva MT, Hilibrand AS (2003) The surgical management of isthmic (spondylotic) spondylolisthesis. Semin Spine Surg 15:160–166
11.
go back to reference Spruit M, Pavlov PW, Leitao J, De Kleuver M, Anderson PG, Den Boer F (2002) Posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis: short-term radiological and functional outcome. Eur Spine J 11:428–433CrossRefPubMed Spruit M, Pavlov PW, Leitao J, De Kleuver M, Anderson PG, Den Boer F (2002) Posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis: short-term radiological and functional outcome. Eur Spine J 11:428–433CrossRefPubMed
12.
go back to reference Wittenberg RH (2002) Comment on “Posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis: short-term radiological and functional outcome” by P.G. Anderson et al. Eur Spine J 11:434–434CrossRefPubMed Wittenberg RH (2002) Comment on “Posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis: short-term radiological and functional outcome” by P.G. Anderson et al. Eur Spine J 11:434–434CrossRefPubMed
Metadata
Title
A concise follow-up of a previous report: posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis
Authors
M. Spruit
J. P. W. van Jonbergen
M. de Kleuver
Publication date
01-11-2005
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 9/2005
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-005-0901-y

Other articles of this Issue 9/2005

European Spine Journal 9/2005 Go to the issue