Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis

Matz, Paul G.; Meagher, Richard J.; Lamer, Tim J.; Tontz, William; Annaswamy, Thiru M.; Cassidy, R. Carter; Cho, Charles H.; Dougherty, Paul; Easa, John E.; Enix, Dennis E.; Gunnoe, Bryan A; Jallo, Jack; Julien, Terrence; Maserati, Matthew B.; Nucci, Robert; O’Toole, John E.; Rosolowski, Karie A.; Sembrano, Jonathan N.; Villavicencio, Alan T.; Witt, J. Peter

doi:10.1016/j.spinee.2015.11.055

Cited by 214 publications

(140 citation statements)

References 65 publications

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“…The NASS produced CPGs for degenerative lumbar spinal stenosis,35 degenerative lumbar spondylolisthesis36 and lumbar disc herniation with radiculopathy 37. Similarly, the NICE produced CPGs for osteoarthritis and low back pain 23 38.…”

Section: Resultsmentioning

confidence: 99%

Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review

et al. 2017

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Section: Resultsmentioning

confidence: 99%

Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review

et al. 2017

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“…The symptoms of spondylolisthesis include low back pain and leg pain, decreasing walk ability, and neurogenic claudication. Surgical interventions were recommended when the symptoms could not be relieved by conservative treatment [16–18]. The difference of spondylolisthesis to other degenerative lumbar diseases (such as lumbar stenosis without spondylolisthesis and lumbar disc herniated) is that in spondylolisthesis patients the vertebrae will be slipped anteriorly.…”

Section: Introductionmentioning

confidence: 99%

The Outcomes of Minimally Invasive versus Open Posterior Approach Spinal Fusion in Treatment of Lumbar Spondylolisthesis: The Current Evidence from Prospective Comparative Studies

Chen

Shen

et al. 2017

BioMed Research International

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Purpose. To investigate the evidence of minimally invasive (MI) versus open (OP) posterior lumbar fusion in treatment of lumbar spondylolisthesis from current prospective literatures. Methods. The electronic literature database of Pubmed, Embase, and Cochrane library was searched at April 2016. The data of operative time, estimated blood loss and length of hospital stay, visual analog scale (VAS) of both lower back pain and leg pain, Oswestry disability index (ODI), SF-36 PCS (physical component scores) and SF-36 MCS (mental component scores), complications, fusion rate, and secondary surgery were extracted and analyzed by STATA 12.0 software. Results. Five nonrandom prospective comparative studies were included in this meta-analysis. The meta-analysis showed that the MI group had a significantly longer operative time than OP group, less blood loss, and shorter hospital stay. No significant difference was found in back pain, leg pain, ODI, SF-36 PCS, SF-36 MCS, complications, fusion rate, and secondary surgery between MI and OP groups. Conclusion. The prospective evidence suggested that MI posterior fusion for spondylolisthesis had less EBL and hospital stay than OP fusion; however it took more operative time. Both MI and OP fusion had similar results in pain and functional outcomes, complication, fusion rate, and secondary surgery.

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“…Degenerative spondylolisthesis (DS) is an acquired anterior vertebral displacement without a disruption of the pars interarticularis, associated with the degenerative changes of aging, such as intervertebral disc degeneration, ligamentous hypertrophy or buckling, and osteophyte proliferation [1,2]. Treatment of DS has long been a topic of debate, as multiple modalities are currently utilized.…”

Section: Introductionmentioning

confidence: 99%

Treatment for Degenerative Lumbar Spondylolisthesis: Current Concepts and New Evidence

Samuel

Moore

Cunningham

2017

Curr Rev Musculoskelet Med

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There is some moderate evidence that decompression alone may be a feasible treatment with lower surgical morbidity and similar outcomes to fusion when performed in a select population with a low-grade slip. Similarly, addition of interbody fusion may be best suited to a subset of patients with high-grade degenerative spondylolisthesis, although this remains controversial. Minimally invasive techniques are increasingly being utilized for both decompression and fusion surgeries with more and more studies showing similar outcomes and lower postoperative morbidity for patients. This will likely be an area of continued intense research. Finally, the role of spondylolisthesis reduction will likely be determined as further investigation into optimal sagittal balance and spinopelvic parameters is conducted. Future identification of ideal thresholds for sagittal vertical axis and slip angle that will prevent progression and reoperation will play an important role in surgical treatment planning. Current evidence supports surgical treatment of degenerative spondylolisthesis. While posterolateral spinal fusion remains the treatment of choice, the use of interbodies and decompressions without fusion may be efficacious in certain populations. However, additional high-quality evidence is needed, especially in newer areas of practice such as minimally invasive techniques and sagittal balance correction.

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Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis

Cited by 214 publications

References 65 publications

Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review

Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review

The Outcomes of Minimally Invasive versus Open Posterior Approach Spinal Fusion in Treatment of Lumbar Spondylolisthesis: The Current Evidence from Prospective Comparative Studies

Treatment for Degenerative Lumbar Spondylolisthesis: Current Concepts and New Evidence

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