Document Detail


Results of degenerative spondylolisthesis treated with posterior decompression alone via a new surgical approach.
MedLine Citation:
PMID:  11453409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: The purpose of this study was to assess radiologically demonstrated results and clinical outcomes in patients with degenerative spondylolisthesis who underwent posterior decompressive surgery via a new (unilateral) approach. This approach allows surgeons to perform central and bilateral decompression while only stripping the muscles unilaterally, thus preserving the posterior osteoligamentous complexes. METHODS: The authors evaluated 51 consecutive patients in whom surgery was performed between 1987 and 1996. The mean follow-up period was 4.7 years. There was no statistically significant difference between the pre- and postoperative measurements in percentage of vertebral slippage. Postoperative dynamic angulation statistically decreased compared with its preoperative value (p < 0.05). Improvement of an average of 67% was shown on the Japanese Orthopaedic Association scale, and in 78% of these patients, good to excellent results were demonstrated. Secondary fusion was required in only three patients (5.9%). CONCLUSIONS: This new surgical technique offers a potential alternative for the treatment of degenerative spondylolisthesis in a minimally invasive manner, avoiding the risk of causing or aggravating postoperative spinal instability.
Authors:
T Kinoshita; I Ohki; K R Roth; K Amano; H Moriya
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  95     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-07-16     Completed Date:  2001-08-02     Revised Date:  2005-04-14    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-6     Citation Subset:  AIM; IM    
Affiliation:
Division of Orthopedic Surgery, Yuki Hospital, Ibaraki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Decompression, Surgical / methods*
Female
Follow-Up Studies
Humans
Laminectomy / methods*
Lumbar Vertebrae / pathology,  surgery*
Male
Middle Aged
Nerve Compression Syndromes / pathology,  surgery*
Postoperative Complications / diagnosis
Spinal Nerve Roots / pathology,  surgery*
Spondylolisthesis / diagnosis,  surgery*
Comments/Corrections
Comment In:
J Neurosurg. 2002 Apr;96(3 Suppl):357; author reply 357-8   [PMID:  11990850 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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