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. 2004 Jan 15;28(3):180–182. doi: 10.1007/s00264-003-0530-1

Selective instrumentation, reduction and repair in low-grade isthmic spondylolisthesis

Oscar Morelos 1, Alfredo O Pozzo 1,✉
PMCID: PMC3474496  PMID: 14727083

Abstract

We treated 32 patients with low-grade (<30%) isthmic spondylolisthesis at L5–S1 with selective instrumentation, reduction of the slip, resection of the pseudoarthrosis adding autologous bone grafting and decompressing the root canal. The ages ranged from 18 to 54 years. After a mean of 3.4 (1–7) years, we found good radiological and clinical results in 27 patients. Five patients lost correction, of whom three were asymptomatic whereas two required fusion of L5–S1. We think this technique is a useful surgical option for select patients.

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Contributor Information

Oscar Morelos, Email: oscarmorelos@prodigy.net.mx.

Alfredo O. Pozzo, Phone: +52-55 52032200, FAX: +52-55 56622208, Email: alpobo_71@hotmail.com

References

  • 1.DaiEur Spine J 2001107811276840 [Google Scholar]
  • 2.Edwards Spine. 1994;19:1535. [PubMed] [Google Scholar]
  • 3.Floman Spine. 2000;25:342. doi: 10.1097/00007632-200002010-00014. [DOI] [PubMed] [Google Scholar]
  • 4.Ishida Y, Ohmori K, Inoue H, Suzuki K (1999) Delayed vertebral slip and adjacent disc degeneration with an isthmic defect of the fifth lumbar vertebra. J Bone Joint Surg [Br] 81:240–244 [DOI] [PubMed]
  • 5.KimSpine 19992481210222534 [Google Scholar]
  • 6.Leitao J, Pavlov P, Spruit M, Kleuver M (2001) Posterior instrumented reduction followed by alif in symptomatic low-grade isthmic spondylolisthesis. J Bone Joint Surg [Br] 83 [Supp I]: 6–7
  • 7.Li-Yang J Spinal Dis. 2000;13:478. [Google Scholar]
  • 8.Moller Spine. 2000;25:1716. doi: 10.1097/00007632-200007010-00017. [DOI] [PubMed] [Google Scholar]
  • 9.Molinari Curr Opin Orthop. 2002;13:178. doi: 10.1097/00001433-200206000-00004. [DOI] [Google Scholar]
  • 10.Nikolaidis A, Papanikolaou A, Polyzoides AJ (1999) Direct repair of pars interarticularis defect in situ for grade 1 isthmic spondylolisthesis using only bone graft. J Bone Joint Surg [Br] 81 [Supp II]:257
  • 11.Osterman Clin Orthop. 1993;297:65. [PubMed] [Google Scholar]
  • 12.Sairyo Spine. 1998;23:1142. doi: 10.1097/00007632-199807010-00002. [DOI] [PubMed] [Google Scholar]
  • 13.Sears W, McCombe P (2001) PLIF and correction of sagittal deformity for spondylolisthesis- evolution of a technique. J Bone Joint Surg [Br] 83 [Supp III]:365
  • 14.WiltzeClin Orthop 1964351164232448 [Google Scholar]

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