Management of symptomatic degenerative low-grade lumbar spondylolisthesis
نویسندگان
چکیده
منابع مشابه
Surgical management of lumbar degenerative spondylolisthesis.
Lumbar degenerative spondylolisthesis (DS) is a common cause of low back pain, radiculopathy, and/or neurogenic claudication. Treatment begins with a trial of nonsurgical methods, including physical therapy, NSAIDs, and epidural corticosteroid injections. Surgical treatment with decompression and fusion is recommended for patients who do not respond to this initial regimen. Although much has be...
متن کاملManagement of symptomatic lumbar degenerative disk disease.
Symptomatic lumbar degenerative disk disease, or discogenic back pain, is difficult to treat. Patients often report transverse low back pain that radiates into the sacroiliac joints. Radicular or claudicatory symptoms are generally absent unless there is concomitant nerve compression. Physical examination findings are often unremarkable. Radiographic examination may reveal disk space narrowing,...
متن کاملThe surgical management of degenerative lumbar spondylolisthesis: a systematic review.
STUDY DESIGN Systematic review. OBJECTIVE To identify whether there is an advantage to instrumented or noninstrumented spinal fusion over decompression alone for patients with degenerative lumbar spondylolisthesis. SUMMARY OF BACKGROUND DATA The operative management of degenerative spondylolisthesis includes spinal decompression with or without instrumented or noninstrumented spinal fusion....
متن کاملDecompression without Fusion for Low-Grade Degenerative Spondylolisthesis.
STUDY DESIGN Retrospective series. PURPOSE Assess results of decompression-only surgery for low-grade degenerative spondylolisthesis with consideration of instability. OVERVIEW OF LITERATURE There is no consensus on whether fusion or decompression-only surgery leads to better outcomes for patients with low-grade degenerative spondylolisthesis. Current trends support fusion but many studies ...
متن کاملSymptomatic Adjacent Segment Pathology after Posterior Lumbar Interbody Fusion for Adult Low-Grade Isthmic Spondylolisthesis
The incidence of symptomatic adjacent segment pathology (ASP) after fusion surgery for adult low-grade isthmic spondylolisthesis (IS) has been reported to be relatively low compared with other lumbar disease entities. However, there has been no study of symptomatic ASP incidence using posterior lumbar interbody fusion (PLIF) with pedicle screw instrumentation. We investigated the incidence of s...
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ژورنال
عنوان ژورنال: EFORT Open Reviews
سال: 2018
ISSN: 2396-7544,2058-5241
DOI: 10.1302/2058-5241.3.180020