Document Detail

Spondylolisthesis treated by a single-stage operation combining decompression with in situ posterolateral and anterior fusion. An analysis of eleven patients who had long-term follow-up.
MedLine Citation:
PMID:  2312539     Owner:  NLM     Status:  MEDLINE    
We treated eleven skeletally mature patients who had a high-grade lumbosacral spondylolisthesis by a single-stage operation that involved posterior spinal decompression, posterolateral arthrodesis with autogenous iliac-crest graft, and anterior arthrodesis with a fibular graft inserted from the posterior approach. We did not attempt to correct the deformity. Preoperatively, all but one patient had severe pain in the back and lower limb; the exceptional patient had severe pain only in the low back. All but one patient had sensory deficits and objective motor impairment before the operation, and five had cauda equina syndrome. Six patients had had a previous operation that had failed. The duration of follow-up ranged from two to twelve years. A solid fusion was obtained in all patients, and all had major or complete neurological recovery. The results did not deteriorate with time.
M D Smith; H H Bohlman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  72     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-04-19     Completed Date:  1990-04-19     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  415-21     Citation Subset:  AIM; IM    
Case Western Reserve University Hospitals, Cleveland, Ohio.
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MeSH Terms
Fibula / transplantation
Follow-Up Studies
Ilium / transplantation
Lumbosacral Region / radiography
Middle Aged
Spinal Fusion / methods*
Spondylolisthesis / complications,  radiography,  surgery*
Urinary Incontinence / etiology,  rehabilitation

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

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