Table VI.
This table summarizes the results of different case series reporting on clinical outcomes after high-grade spondylolisthesis surgery, using the Scoliosis Research Society 22-item, 24-item, or 30-item instrument.
| Authors, year of publication | Age, yrs, range | No. | Surgical technique | Mean follow-up, yrs | Complications, n (%) | Neurological complications, total/permanent, n (%) | Nonunion, n (%) | Reoperations, n (%) | HRQoL instrument | Outcomes, mean (SD) |
|---|---|---|---|---|---|---|---|---|---|---|
| Smith et al, 200115 | 8 to 52 | 9 | Transfixation with fibular strut graft | 3.6 | 10 (111) | 2 (22)/0 (0) | 2 (22) | 2 (22) | SRS-22 | Function 3.6 Pain 3.5 Self-image 3.6 Mental health 3.7 Satisfaction 4.6 |
| Boachie-Adjei et al, 200216 | 13 to 29 | 6 | Posterior pedicle screw transfixation with direct decompression | 3.6 | 3 (50) | 3 (50)/0 (0) | 0 (0) | 0 (0) | SRS-24 | General function 4.5 Postop function 4.2 Pain 4.3 General self-image 4.0 Postop self-image 4.5 Satisfaction 4.5 |
| Helenius et al, 200617 | 8 to 19 | 21 | Posterolateral in situ fusion | 21.7 | 3 (14) | 4 (19)/0 (0) | 0 (0) | 5 (24) | SRS-24 | Total score 3.7 (0.6), Appearance 4.0 (0.7) |
| 23 | Anterior in situ fusion | 14.0 | 5 (22) | 0 (0)/0 (0) | 3 (13) | 1 (4) | SRS-24 | Total score 3.8 (0.6) Appearance 4.4 (0.9) |
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| 26 | Circumferential in situ fusion | 16.3 | 3 (12) | 0 (0)/0 (0) | 1 (4) | 5 (19) | SRS-24 | Total score 4.2 (0.4) Appearance 4.1 (0.8) |
||
| Lundine et al, 201418 | 8 to 17 | 34 | Uninstrumented in situ fusion w, w/o fibular strut grafting, Anterior interbody fusion, Instrumented in situ fusion, Instrumented fusion with reduction, Instrumented fusion with reduction and interbody grafting, L5 corpectomy. |
7.5 | N/R | N/R/ 3 (9) | 4 (12) | 11 (32) | SRS-30 | Function 4.0 (0.8) Pain 4.2 (1.1) Self-image 3.7 (0.7) Mental health 4.0 (0.8) Satisfaction 4.2 (0.7) |
| 8 to 17 | 15 | Untreated | 7.6 | N/R | N/R | N/R | N/R | SRS-30 | Function 4.0 (0.4) Pain 4.2 (0.4) Self-image 3.7 (0.5) Mental health 4.3 (0.5) Satisfaction 4.2 (0.6) |
|
| Mac-Thiong et al 20198 | 8 to 21 | 61 | One uninstrumented in situ fusion, 36 PLIF/TLIF interbody fusion, seven transfixation screws/transfixating cage, three transfixation pedicle screws |
2.3 | 14 (23) | 7 (11)/2 (3) | 0 (0) | 4 (7) | SRS-22 | Function 4.3 (0.5) Pain 4.0 (0.8) Self-image 4.2 (0.8) Mental health 4.2 (0.8) Satisfaction 4.5 (0.9) |
| Joelson et al., 2014 and 201919,20 | 9 to 24 | 38 | Uninstrumented in situ fusion | 34 | 9 (26) | 2 (6)/0 (0) | 0 (0) | 1 (3) | SRS-22r | Function 4.3 (0.8) Pain 4.1 (1.0) Self-image 3.5 (0.8) Mental health 4.1 (0.7) Satisfaction 4.0 (0.9) |
| Present study | 9 to 20 | 28 | Posterior pedicle screw transfixation | 8.9 | 12 (43) | 3 (10)/0 (0) | 0 (0) | 7 (25) | SRS-22r | Function 4.4 (0.6) Pain 4.2 (0.7) Self-image 4.2 (0.8) Mental health 4.1 (1.0) Satisfaction 4.7 (0.6) Total 4.3 (0.6) |