Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients

Background Data: Spondylolisthesis refers to the forward displacement of one vertebra relative to another. Whether degenerative spondylolisthesis (DS) leads to instability was controversial in the literature. DS was conventionally considered to be instable but some papers have reported that there wa...

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Autores principales:	Hany El-Nemr, Hossam Ibrahim
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2014
Materias:	Lumbar spondylolisthesis Pedicle screw fixation Vertebral kinematics Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/080ee1a93d714a39b7d4407560f2f55b
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spelling	oai:doaj.org-article:080ee1a93d714a39b7d4407560f2f55b2021-12-02T00:39:51ZMotion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly PatientsDOI:10.21608/ESJ.2014.39392314-89502314-8969https://doaj.org/article/080ee1a93d714a39b7d4407560f2f55b2014-10-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3939.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Spondylolisthesis refers to the forward displacement of one vertebra relative to another. Whether degenerative spondylolisthesis (DS) leads to instability was controversial in the literature. DS was conventionally considered to be instable but some papers have reported that there was no evidence that the range of motions (ROMs) of the vertebrae with DS were increased compared with normal vertebrae. Purpose: The aim of the work was to study motor characteristics of the vertebral segments with lumber degenerative spondylolisthesis in elderly patients after surgical management. Study Design: This is a prospective study. Patients and Methods: Thirty patients (age more than 55 years) with lumbar DS and failed conservative measures for at least three months before surgical treatment were included. Vertebral kinematics obtained using dynamic plain X. ray; also MRI and/or CT scan of lumbosacral spine were done. During functional postures, vertebral instability was studied. All cases operated upon from May 2013 to December 2013 in the Neurosurgery Department of Banha University hospital and followed up 6 months for at least. Patients were grouped into 2 groups according to vertebral instability: Group A (fifteen cases ) and Group B (fifteen cases) chosen without privilege to sex , or weight, but suffering from midline low back pain and/ or claudication that were proven to be attributed to spondylolisthesis. Clinical follow-up: done immediately, at 3 and 6 months intervals. The evaluation included the Japanese Orthopedic Association (JOA). Preoperative and last postoperative standing were done to measure the degree of slip and percentage of slip. Results: Adequate lumbar decompression alone in cases of Group A (with no evident range of motion) showed good outcome with less complications when compared with cases of Group B(showing instability) treated with decompression with posterolateral instrumented fusion using bilateral pedicle screw fixation.Conclusion: Lumbar DS is a degenerative disease of lumbar spine results in neural compression but does not result necessarily in vertebral instability, some cases of lumbar DS may need only neural decompression as re-stabilization process may have occurred but other cases show instability which required decompression with instrumented fusion. (2014ESJ082) Hany El-Nemr Hossam IbrahimEgyptian Spine AssociationarticleLumbar spondylolisthesisPedicle screw fixationVertebral kinematicsNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 12, Iss 1, Pp 27-34 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lumbar spondylolisthesis Pedicle screw fixation Vertebral kinematics Neurology. Diseases of the nervous system RC346-429
spellingShingle	Lumbar spondylolisthesis Pedicle screw fixation Vertebral kinematics Neurology. Diseases of the nervous system RC346-429 Hany El-Nemr Hossam Ibrahim Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients
description	Background Data: Spondylolisthesis refers to the forward displacement of one vertebra relative to another. Whether degenerative spondylolisthesis (DS) leads to instability was controversial in the literature. DS was conventionally considered to be instable but some papers have reported that there was no evidence that the range of motions (ROMs) of the vertebrae with DS were increased compared with normal vertebrae. Purpose: The aim of the work was to study motor characteristics of the vertebral segments with lumber degenerative spondylolisthesis in elderly patients after surgical management. Study Design: This is a prospective study. Patients and Methods: Thirty patients (age more than 55 years) with lumbar DS and failed conservative measures for at least three months before surgical treatment were included. Vertebral kinematics obtained using dynamic plain X. ray; also MRI and/or CT scan of lumbosacral spine were done. During functional postures, vertebral instability was studied. All cases operated upon from May 2013 to December 2013 in the Neurosurgery Department of Banha University hospital and followed up 6 months for at least. Patients were grouped into 2 groups according to vertebral instability: Group A (fifteen cases ) and Group B (fifteen cases) chosen without privilege to sex , or weight, but suffering from midline low back pain and/ or claudication that were proven to be attributed to spondylolisthesis. Clinical follow-up: done immediately, at 3 and 6 months intervals. The evaluation included the Japanese Orthopedic Association (JOA). Preoperative and last postoperative standing were done to measure the degree of slip and percentage of slip. Results: Adequate lumbar decompression alone in cases of Group A (with no evident range of motion) showed good outcome with less complications when compared with cases of Group B(showing instability) treated with decompression with posterolateral instrumented fusion using bilateral pedicle screw fixation.Conclusion: Lumbar DS is a degenerative disease of lumbar spine results in neural compression but does not result necessarily in vertebral instability, some cases of lumbar DS may need only neural decompression as re-stabilization process may have occurred but other cases show instability which required decompression with instrumented fusion. (2014ESJ082)
format	article
author	Hany El-Nemr Hossam Ibrahim
author_facet	Hany El-Nemr Hossam Ibrahim
author_sort	Hany El-Nemr
title	Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients
title_short	Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients
title_full	Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients
title_fullStr	Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients
title_full_unstemmed	Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients
title_sort	motion characteristics of the vertebral segments with lumber degenerative spondylolisthesis in elderly patients
publisher	Egyptian Spine Association
publishDate	2014
url	https://doaj.org/article/080ee1a93d714a39b7d4407560f2f55b
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Motion Characteristics of the Vertebral Segments with Lumber Degenerative Spondylolisthesis in Elderly Patients

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