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European Spine Journal

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01-01-2014 | Original Article

Single segment of posterior lumbar interbody fusion for adult isthmic spondylolisthesis: reduction or fusion in situ

Authors: Xiao-Feng Lian, Tie-Sheng Hou, Jian-Guang Xu, Bing-Fang Zeng, Jie Zhao, Xiao-Kang Liu, Er-Zhu Yang, Cheng Zhao

Published in: European Spine Journal | Issue 1/2014

Abstract

Objective

We prospectively compared surgical reduction or fusion in situ with posterior lumbar interbody fusion (PLIF) for adult isthmic spondylolisthesis in terms of surgical invasiveness, clinical and radiographical outcomes, and complications.

Methods

From January 2006 to June 2008, 88 adult patients with isthmic spondylolisthesis who underwent surgical treatment in our unit were randomized to reduced group (group 1, n = 45) and in situ group (group 2, n = 43), and followed up for average 32.5 months (range 24–54 months). The clinical and radiographical outcomes were compared between the two groups.

Results

The average operative time and blood loss during surgery showed insignificant difference (p > 0.05) between two groups. The radiological outcomes were significantly better in group 1, but there was no significant difference between two groups of clinical outcomes, depicting as VAS, ODI, JOA and patients’ satisfaction surveys. Incident rate of surgical complications was similar in two groups, but in group 1 the complication seemed more severe because of two patients with neurological symptoms.

Conclusions

For the adult isthmic spondylolisthesis without degenerative disease in adjacent level, single segment of PLIF with pedicle screw fixation is an effective and safe surgical procedure regardless of whether additional reduction had been conducted or not. Better radiological outcome does not mean better clinical outcome.

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Title: Single segment of posterior lumbar interbody fusion for adult isthmic spondylolisthesis: reduction or fusion in situ
Authors: Xiao-Feng Lian
Tie-Sheng Hou
Jian-Guang Xu
Bing-Fang Zeng
Jie Zhao
Xiao-Kang Liu
Er-Zhu Yang
Cheng Zhao
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 1/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-2858-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single segment of posterior lumbar interbody fusion for adult isthmic spondylolisthesis: reduction or fusion in situ

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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