Contemporary management of isthmic spondylolisthesis: pediatric and adult
Autor: | Steven S. Agabegi, Jeffrey S. Fischgrund |
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Rok vydání: | 2010 |
Předmět: |
Adult
medicine.medical_specialty business.industry medicine.medical_treatment Kyphosis Isthmic spondylolisthesis Spondylolysis medicine.disease Asymptomatic Sagittal plane Surgery medicine.anatomical_structure Deformity Humans Medicine Orthopedic Procedures Orthopedics and Sports Medicine Neurology (clinical) Spondylolisthesis medicine.symptom Child business Reduction (orthopedic surgery) Lumbosacral joint |
Zdroj: | The Spine Journal. 10:530-543 |
ISSN: | 1529-9430 |
Popis: | Background Isthmic spondylolisthesis is common in pediatric and adult patients. Most cases are asymptomatic. When symptomatic, nonsurgical treatment is an appropriate first step. Surgical treatment of this condition varies depending on patient age, degree of slip, presence of neurologic findings, and degree of deformity. Purpose To review the literature on the management of isthmic spondylolisthesis in pediatric and adult patients. Study Design Review article. Methods Literature review. Results and Conclusions Achieving a solid fusion leads to improved functional outcomes and reduction in pain. A circumferential fusion is associated with a higher fusion rate and has become more common, especially with high-grade slips. The need for reduction is controversial and is mostly indicated for patients with significant lumbosacral kyphosis and sagittal imbalance. |
Databáze: | OpenAIRE |
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