L5–S1 Spondylolisthesis: What Has Changed in 20 Years? A Review of Key Issues in Comparison with Personal Experience

Abstract

The very first issue of the Russian Journal of Spine Surgery (2004;(1):39–46) published an article entitled “Surgical Treatment for L5 Spondylolisthesis with Transpedicular Fixators”. Twenty years later, the authors analyzed changes in approaches to surgical treatment of spondylolisthesis, taking into account the experience in surgical treatment of this pathology gained at the N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics. The issues of classification, fixation methods, reduction, changes in sagittal balance, the possibility of using additive technologies and possible complications of surgical treatment are considered.In conclusion, it is noted that the development of surgical treatment methods, the study of biomechanical features, the introduction of additive technologies and much more enable improving the outcomes of spondylolisthesis treatment.