Topographic relations between the neural and ligamentous structures of the lumbosacral junction: in-vitro investigation

Kleihues, H.; Albrecht, S.; Noack, W.

doi:10.1007/s005860000222

Cited by 11 publications

(4 citation statements)

References 39 publications

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“…The major disadvantage of complete slip reduction is the increased risk of neural injury caused by excessive distraction of nerve roots 11) . The various hypothetical cause of neurologic injury include direct pressure on the nerve root during reduction, impingement of the nerve roots on the iliolumbar ligaments, extradural tension on the nerve roots, and disc material extruded into the canal 6 8) . Moreover, for the treatment of high-grade spondylolisthesis, the risk of neural injury caused by forceful reduction and pseudarthrosis is much higher 9 10) .…”

Section: Discussionmentioning

confidence: 99%

Mini-open PLIF for Moderate to High Grade Spondylolisthesis: Technique to Achieve Spontaneous Reduction

Jeong

Kim²,

Kim

2015

Korean J Spine

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ObjectiveThe purpose of this study was to evaluate the surgical technique and outcome of mini-open posterior lumbar interbody fusion (PLIF) under circumferential releasing technique.MethodsFourty patients who underwent mini-open PLIF using the percutaneous screw fixation system for Meyerding Grade II spondylolisthesis or more were retrospectively studied. After complete circumferential release, the slipped vertebrae would tend to obtain spontaneous reduction, and with compressive force by percutaneous screw fixation, additional reduction could be achieved. The radiological measurements including slippage reduction, disc height, restoration of lumbar lordotic angle and focal segmental angle were analyzed. The clinical outcome was assessed using the visual analog scale (VAS) and low back outcome score (LBOS), and procedure related complications were also analyzed.ResultsSlippage percentage was improved from 38.0±12.6% to 9.3±7.8% and lumbar lordotic angle was changed from 43.0±13.8° to 48.2±10.3°. Focal segmental angle improved from 10.1±8.5° to 15.9±6.0°. The mean LBOS and mean pain score were also improved significantly. Complications included one case of medial penetration of pedicle border and two cases of transient radiculopathy. However, there were no signs of neurological aggravation or fusion failure during the follow-up period.ConclusionMini-open PLIF using the percutaneous screw fixation following complete circumferential release can be safe and effective treatment for even moderate to severe grade spondylolisthesis.

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Section: Discussionmentioning

confidence: 99%

Mini-open PLIF for Moderate to High Grade Spondylolisthesis: Technique to Achieve Spontaneous Reduction

Jeong

Kim²,

Kim

2015

Korean J Spine

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“…Un autre type de ligament, tendu des apophyses transverses de L5 au sacrum, et présent chez la moitié des sujets [62], contribue aussi à s'opposer aux mouvements de nutation, et passe, lui, en avant de L5, racine qu'il pourrait de surcroît contribuer à étirer lors de certains mouvements ou lors de la correction chirurgicale de certains spondylolisthésis [62] (pouvant rendre compte alors de certaines sciatiques 'à imagerie normale'). Il est possible que des lésions de ces ligaments induisent à la fois une mobilité exagérée des sacroiliaques, et des douleurs évoquant aux cliniciens une souffrance de l'articulation SI stricto-sensu, mais restant non ou mal soulagées par des blocs anesthésiques pratiqués au sein de l'articulation (car ne diffusant pas en dehors de celle-ci).…”

Section: Discussionunclassified

Absence de fiabilité des tests cliniques et des blocs pour le diagnostic positif de l’origine sacro-iliaque d’une douleur

Berthelot

Labat

Goff

et al. 2006

Revue du Rhumatisme

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“…3 However, despite high rates of clinical and radiographic success following surgical management of spondylolisthesis, reported complication rates remain highly variable, ranging from 0% to 75%. [5][6][7][8][9][10][11][12] The heterogeneity in reported complication rates may be in part due to the variability in the degree of spondylolisthesis reduction. However, there is minimal peer-reviewed literature documenting complication rates following low-grade spondylolisthesis reductions in the adult population.…”

mentioning

confidence: 99%

“…Multicenter evaluations of patient outcomes after spondylolisthesis fusion—such as the Spine Patient Outcomes Research Trial (SPORT)—demonstrate the effectiveness of surgery when compared with conservative measures 3. However, despite high rates of clinical and radiographic success following surgical management of spondylolisthesis, reported complication rates remain highly variable, ranging from 0% to 75% 5–12. The heterogeneity in reported complication rates may be in part due to the variability in the degree of spondylolisthesis reduction.…”

mentioning

confidence: 99%

Surgical Reduction of Spondylolisthesis During Lumbar Fusion

Lambrechts¹,

Barber²,

Beckett

et al. 2021

Clinical Spine Surgery: A Spine Publication

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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.

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Topographic relations between the neural and ligamentous structures of the lumbosacral junction: in-vitro investigation

Cited by 11 publications

References 39 publications

Mini-open PLIF for Moderate to High Grade Spondylolisthesis: Technique to Achieve Spontaneous Reduction

Mini-open PLIF for Moderate to High Grade Spondylolisthesis: Technique to Achieve Spontaneous Reduction

Absence de fiabilité des tests cliniques et des blocs pour le diagnostic positif de l’origine sacro-iliaque d’une douleur

Surgical Reduction of Spondylolisthesis During Lumbar Fusion

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