Surgical Reduction of Spondylolisthesis During Lumbar Fusion: Are Complications Associated With Slip Correction?
Journal
Clinical spine surgery
ISSN: 2380-0194
Titre abrégé: Clin Spine Surg
Pays: United States
ID NLM: 101675083
Informations de publication
Date de publication:
01 02 2022
01 02 2022
Historique:
received:
11
11
2020
accepted:
01
06
2021
pubmed:
8
7
2021
medline:
30
3
2022
entrez:
7
7
2021
Statut:
ppublish
Résumé
This was a retrospective cohort study. The objective of this study was to quantify the rates of complication following surgical treatment for symptomatic degenerative and isthmic spondylolisthesis and to examine the association between slip reduction and complication rates. It is unclear if the degree of spondylolisthesis reduction during lumbar spine fusion in adults influences the rate of surgical complications. This is a retrospective cohort study of 1-level and 2-level adult fusion patients with degenerative or isthmic spondylolisthesis. The degree of reduction and complications were calculated, and complication rates between those with and without reduction were compared. The surgical reduction was improved by 1 Meyerding grade in 56.5% of the 140 patients included in this analysis. Of those patients, 60% had a grade 1 spondylolisthesis. In addition, 62.5% of grade 2 slips had an improvement by 1 grade. Surgical reduction during lumbar fusion did not result in a higher rate of complications compared with in situ fusion. During 1-level or 2-level lumbar fusion for degenerative or isthmic spondylolisthesis, a 1-grade reduction of the slip was achieved in 56% of patients in this retrospective case series. Reduction of the spondylolisthesis was not associated with a higher rate of complication when compared with in situ fusion. Level IV.
Sections du résumé
STUDY DESIGN
This was a retrospective cohort study.
OBJECTIVE
The objective of this study was to quantify the rates of complication following surgical treatment for symptomatic degenerative and isthmic spondylolisthesis and to examine the association between slip reduction and complication rates.
SUMMARY OF BACKGROUND DATA
It is unclear if the degree of spondylolisthesis reduction during lumbar spine fusion in adults influences the rate of surgical complications.
METHODS
This is a retrospective cohort study of 1-level and 2-level adult fusion patients with degenerative or isthmic spondylolisthesis. The degree of reduction and complications were calculated, and complication rates between those with and without reduction were compared.
RESULTS
The surgical reduction was improved by 1 Meyerding grade in 56.5% of the 140 patients included in this analysis. Of those patients, 60% had a grade 1 spondylolisthesis. In addition, 62.5% of grade 2 slips had an improvement by 1 grade. Surgical reduction during lumbar fusion did not result in a higher rate of complications compared with in situ fusion.
CONCLUSIONS
During 1-level or 2-level lumbar fusion for degenerative or isthmic spondylolisthesis, a 1-grade reduction of the slip was achieved in 56% of patients in this retrospective case series. Reduction of the spondylolisthesis was not associated with a higher rate of complication when compared with in situ fusion.
LEVEL OF EVIDENCE
Level IV.
Identifiants
pubmed: 34232155
doi: 10.1097/BSD.0000000000001230
pii: 01933606-202202000-00012
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E1-E6Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
C.L.G. is a board or committee member at AOSpine North America, North American Spine Society. E.V.L. is on the editorial or governing board at JISAKOS, Journal of Knee Surgery. J.L.C. received IP royalties and research support from Arthrex Inc.; is a paid consultant; paid presenter, or speaker at Arthrex Inc.; is a paid consultant at Bioventus; received research support from Coulter Foundation, DePuy Synthes—A Johnson & Johnson Company, GE Healthcare, Merial; is on the editorial or governing board at Journal of Knee Surgery; is a board or committee member at Midwest Transplant Network, Musculoskeletal Transplant Foundation and received IP royalties, research support; received research support from National Institutes of Health (NIAMS & NICHD), Purina, US Department of Defense; received publishing royalties, financial, or material support from Thieme: is a paid consultant at Trupanion. T.J.C. is a board or committee member at AOSpine North America, North American Spine Society, Scoliosis Research Society; received stock or stock options from Gentis Inc. The remaining authors declare no conflict of interest.
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