Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.

Abstract Background Data: The management of high grade spondylolisthesis remains controversial; with advocates for in-situ fusion and others for reduction. Purpose: To report the clinical and radiological results and the operative technique of a personal case series of adult Grade 4 isthmic spondy...

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Autor principal:	Hossam Taha
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	isthmic TLIF grade 4 spondylolisthesis instrumented reduction Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9599bdfbf2ee4048bd542d7e9f75b943
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spelling	oai:doaj.org-article:9599bdfbf2ee4048bd542d7e9f75b9432021-12-02T08:45:48ZInstrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.DOI:10.21608/ESJ.2012.37932314-89502314-8969https://doaj.org/article/9599bdfbf2ee4048bd542d7e9f75b9432012-07-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3793.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Abstract Background Data: The management of high grade spondylolisthesis remains controversial; with advocates for in-situ fusion and others for reduction. Purpose: To report the clinical and radiological results and the operative technique of a personal case series of adult Grade 4 isthmic spondylolisthesis that underwent instrumented reduction and TLIF. Study Design: Retrospective clinical and radiological evaluation of a case series. Patients and Methods: Twelve patients with grade 4 isthmic spondylolisthesis were retrospectively reviewed. All patients presented with disabling back pain, 83% with leg pain, 66% crouched while walking and 16.5% presented with caudae quina syndrome. They all underwent posterior decompression, instrumented reduction and TLIF at the slipped level. Results: The mean preoperative VAS for back pain of 7.3 dropped to 2.2 and of 8 to 1.9 for leg pain. The mean preoperative ODI of 41 dropped to 12 at the latest follow up. Solid fusion was obtained in 75% with another 16.7% stable constructs without bridging bony fusion. Conclusion: Instrumented surgical reduction and TLIF provides a safe and effective way of treating adult high grade spondylolisthesis. (2012ESJ023) Hossam TahaEgyptian Spine AssociationarticleisthmicTLIFgrade 4 spondylolisthesisinstrumented reductionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 3, Iss 1, Pp 50-56 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	isthmic TLIF grade 4 spondylolisthesis instrumented reduction Neurology. Diseases of the nervous system RC346-429
spellingShingle	isthmic TLIF grade 4 spondylolisthesis instrumented reduction Neurology. Diseases of the nervous system RC346-429 Hossam Taha Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.
description	Abstract Background Data: The management of high grade spondylolisthesis remains controversial; with advocates for in-situ fusion and others for reduction. Purpose: To report the clinical and radiological results and the operative technique of a personal case series of adult Grade 4 isthmic spondylolisthesis that underwent instrumented reduction and TLIF. Study Design: Retrospective clinical and radiological evaluation of a case series. Patients and Methods: Twelve patients with grade 4 isthmic spondylolisthesis were retrospectively reviewed. All patients presented with disabling back pain, 83% with leg pain, 66% crouched while walking and 16.5% presented with caudae quina syndrome. They all underwent posterior decompression, instrumented reduction and TLIF at the slipped level. Results: The mean preoperative VAS for back pain of 7.3 dropped to 2.2 and of 8 to 1.9 for leg pain. The mean preoperative ODI of 41 dropped to 12 at the latest follow up. Solid fusion was obtained in 75% with another 16.7% stable constructs without bridging bony fusion. Conclusion: Instrumented surgical reduction and TLIF provides a safe and effective way of treating adult high grade spondylolisthesis. (2012ESJ023)
format	article
author	Hossam Taha
author_facet	Hossam Taha
author_sort	Hossam Taha
title	Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.
title_short	Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.
title_full	Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.
title_fullStr	Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.
title_full_unstemmed	Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.
title_sort	instrumented reduction and tlif for adult grade four isthmic spondylolisthesis.
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/9599bdfbf2ee4048bd542d7e9f75b943
work_keys_str_mv	AT hossamtaha instrumentedreductionandtlifforadultgradefouristhmicspondylolisthesis
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Instrumented Reduction and TLIF for Adult Grade Four Isthmic Spondylolisthesis.

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