Vertebral Slip Morphology in Dysplastic Spondylolisthesis as a Criterion for the Choice of the L5/S1 Support (ALIF, PLIF, Fibular Graft) in Surgical Treatment

Dysplastic spondylolisthesis is a severe pathological condition, based on dysplastic changes in the lumbosacral part of spine, that causes asymmetry junction. The appropriate therapeutic algorithm remains controversial. As gold standard, surgical reposition slipped vertebra and 360° fusion affected spinal segment preferred. Thirty-two patients were operated between years 2005 2018. Different techniques fusion, severity displacement vertebral segment, used. Herein, advantages disadvantages different interbody are discussed. slippage retention after reduction vertebrae evaluated prior to operation, postoperatively, one year surgery, during follow-up, which was 7 average (minimum 2 for follow-up). Complications associated with surgery evaluated, addition operation time, blood loss, spinopelvic parameters, patient satisfaction surgery. All improved compared preoperative conditions. not changed significantly postoperative controls. incidence neurological complications reached 12.5%. Surgical treatment only option successfully addressed principle spondylolisthesis. methods used led restoring symmetry lumbar improvement both radiological parameters alleviation subjective difficulties. aim this article summarize having slip more than 25%, who on, determine optimal according slip.