High-Grade Lumbar Spondylolisthesis.

Decompression, Surgical Humans Lumbar Vertebrae / diagnostic imaging Sacrum / diagnostic imaging Spinal Fusion Spondylolisthesis / diagnostic imaging Treatment Outcome
Anterolisthesis High-grade spondylolisthesis Isthmic spondylolisthesis Lumbar

Journal

Neurosurgery clinics of North America
ISSN: 1558-1349
Titre abrégé: Neurosurg Clin N Am
Pays: United States
ID NLM: 9008004

Informations de publication

Date de publication:
Jul 2019
Historique:
entrez: 13 5 2019
pubmed: 13 5 2019
medline: 10 7 2019
Statut: ppublish

Résumé

Most high-grade spondylolistheses are resultant from isthmic spondylolisthesis, as complete discontinuity of the pars is typically necessary to allow for this degree of anterior vertebral translation, although can occur less commonly in other scenarios. Higher-grade slips can affect the global sagittal balance of the patient and often result in altered gait patterns and compensatory posturing. Management usually entails surgical decompression and fusion with instrumentation. The addition of anterior column support carries many advantages, including greater surface area for fusion, dynamic compression load sharing at the lumbosacral junction, and a powerful adjunct for deformity correction.

Identifiants

DOI: 10.1016/j.nec.2019.02.002 PMID: 31078229
pubmed: 31078229
pii: S1042-3680(19)30015-4
doi: 10.1016/j.nec.2019.02.002
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

291-298

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Aaron W Beck (AW)

Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

Andrew K Simpson (AK)

Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: asimpson@bwh.harvard.edu.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Décompression chirurgicale › High-Grade Lumbar Spondylolisthesis.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › High-Grade Lumbar Spondylolisthesis.
questionsmedicales.fr › Appareil locomoteur › Squelette › Rachis › Vertèbres lombales › High-Grade Lumbar Spondylolisthesis.
questionsmedicales.fr › Appareil locomoteur › Squelette › Rachis › Sacrum › High-Grade Lumbar Spondylolisthesis.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Arthrodèse › Arthrodèse vertébrale › High-Grade Lumbar Spondylolisthesis.
questionsmedicales.fr › Maladies ostéomusculaires › Maladies osseuses › Maladies du rachis › Spondylose › Spondylolyse › Spondylolisthésis › High-Grade Lumbar Spondylolisthesis.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › High-Grade Lumbar Spondylolisthesis.