Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis

Background Data: The role of surgical correction of sagittal plane deformity in cases of lytic spondylolisthesis is essential. While evidence is emerging of the possible short- and long-term benefits of restoring spinal balance, some surgeons have been concerned about the associated risks especiall...

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Autores principales:	Samir El-Ghandour, Mohamed Radwan, Hassan Alshatoury
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2013
Materias:	isthmic spondylolisthesis low grade lumbosacral Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2f8565e0c7404b8ea4636034ad546331
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spelling	oai:doaj.org-article:2f8565e0c7404b8ea4636034ad5463312021-12-02T06:49:18ZSagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral SpondylolisthesisDOI:10.21608/ESJ.2013.38152314-89502314-8969https://doaj.org/article/2f8565e0c7404b8ea4636034ad5463312013-04-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3815.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: The role of surgical correction of sagittal plane deformity in cases of lytic spondylolisthesis is essential. While evidence is emerging of the possible short- and long-term benefits of restoring spinal balance, some surgeons have been concerned about the associated risks especially if instrumentation has to be used for reduction of the slipping. Purpose: To evaluate the Sagittal Balance improvement in surgical Treated Lowgrade Isthmic Lumbosacral Spondylolisthesis Study Design: Prospective clinical case study Patients and Methods: Twenty two patients with low-grades (<50%) of isthmic spondylolisthesis of lumbosacral junction (L5-S1) were managed by a surgical intervention aiming for correction of the deformity even with partial reduction of the slipping. Sagittal alignment at the lumbosacral junction was tried to be achieved by appropriate positioning of the patient during the surgery and by rod contouring. Posterior decompression of nerve structures by laminectomy in conjunction with posterior instrumented fusion from L5 to sacrum were also done. They were fourteen females and eight males with a mean age of 40.45 years. The mean follow up period was 20 months. Results: All patients achieved satisfactory results as regards the back pain, radicular pain and neurologic deficits. The mean preoperative estimated values of slip percentage, L1-S1 lordosis, sacral inclination angle and lumbosacral kyphosis were 30.2%, 48.8°, 46.04°, and 35°. The mean reconstructed values were 25%, 34.9°, 36.86°, and 28° postoperative. Pelvic version improved in patients with unbalanced spondylolisthesis as evidenced by decreased sacral slope [from 46.04 degrees to 36.86 degrees] (P<0.5). All patients could return to their normal activities of daily living. Conclusion: This study suggests that, the described technique can yield satisfactory clinical outcomes and substantial deformity correction using single posterior approach with proper patient position before surgery. (2013ESJ040)Samir El-Ghandour Mohamed RadwanHassan AlshatouryEgyptian Spine Associationarticleisthmic spondylolisthesislow gradelumbosacralNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 6, Iss 1, Pp 18-24 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	isthmic spondylolisthesis low grade lumbosacral Neurology. Diseases of the nervous system RC346-429
spellingShingle	isthmic spondylolisthesis low grade lumbosacral Neurology. Diseases of the nervous system RC346-429 Samir El-Ghandour Mohamed Radwan Hassan Alshatoury Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis
description	Background Data: The role of surgical correction of sagittal plane deformity in cases of lytic spondylolisthesis is essential. While evidence is emerging of the possible short- and long-term benefits of restoring spinal balance, some surgeons have been concerned about the associated risks especially if instrumentation has to be used for reduction of the slipping. Purpose: To evaluate the Sagittal Balance improvement in surgical Treated Lowgrade Isthmic Lumbosacral Spondylolisthesis Study Design: Prospective clinical case study Patients and Methods: Twenty two patients with low-grades (<50%) of isthmic spondylolisthesis of lumbosacral junction (L5-S1) were managed by a surgical intervention aiming for correction of the deformity even with partial reduction of the slipping. Sagittal alignment at the lumbosacral junction was tried to be achieved by appropriate positioning of the patient during the surgery and by rod contouring. Posterior decompression of nerve structures by laminectomy in conjunction with posterior instrumented fusion from L5 to sacrum were also done. They were fourteen females and eight males with a mean age of 40.45 years. The mean follow up period was 20 months. Results: All patients achieved satisfactory results as regards the back pain, radicular pain and neurologic deficits. The mean preoperative estimated values of slip percentage, L1-S1 lordosis, sacral inclination angle and lumbosacral kyphosis were 30.2%, 48.8°, 46.04°, and 35°. The mean reconstructed values were 25%, 34.9°, 36.86°, and 28° postoperative. Pelvic version improved in patients with unbalanced spondylolisthesis as evidenced by decreased sacral slope [from 46.04 degrees to 36.86 degrees] (P<0.5). All patients could return to their normal activities of daily living. Conclusion: This study suggests that, the described technique can yield satisfactory clinical outcomes and substantial deformity correction using single posterior approach with proper patient position before surgery. (2013ESJ040)
format	article
author	Samir El-Ghandour Mohamed Radwan Hassan Alshatoury
author_facet	Samir El-Ghandour Mohamed Radwan Hassan Alshatoury
author_sort	Samir El-Ghandour
title	Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis
title_short	Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis
title_full	Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis
title_fullStr	Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis
title_full_unstemmed	Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis
title_sort	sagittal balance improvement in surgical treatment of low- grade isthmic lumbosacral spondylolisthesis
publisher	Egyptian Spine Association
publishDate	2013
url	https://doaj.org/article/2f8565e0c7404b8ea4636034ad546331
work_keys_str_mv	AT samirelghandour sagittalbalanceimprovementinsurgicaltreatmentoflowgradeisthmiclumbosacralspondylolisthesis AT mohamedradwan sagittalbalanceimprovementinsurgicaltreatmentoflowgradeisthmiclumbosacralspondylolisthesis AT hassanalshatoury sagittalbalanceimprovementinsurgicaltreatmentoflowgradeisthmiclumbosacralspondylolisthesis
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Sagittal Balance Improvement in Surgical Treatment of Low- Grade Isthmic Lumbosacral Spondylolisthesis

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