SciELO - Scientific Electronic Library Online

 
vol.10 número3Road traffic accidents and orthopaedic injuries in childrenControversies in the management of tibial plateau fractures índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google

Compartir


SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

Resumen

VLOK, AJ  y  DUNN, RN. Spondylolytic spondylolisthesis: surgical management of adult presentation. SA orthop. j. [online]. 2011, vol.10, n.3, pp.85-89. ISSN 2309-8309.

Retrospective review of 27 patients presenting as adults with spondylolytic spondylolisthesis. The average age at surgery was 42.9 years. Most patients (21/27) had long standing tolerable axial back pain with symptoms present for up to 156 months. It was however the radicular pain that brought them to surgery. Posterior transforaminal lumbar inter-body fusion (TLIF) was performed in all patients with a median surgical time of 183 minutes and 650 ml blood loss. There were two complications, one a large blood loss of 4 000 ml due to uncontrollable epidural bleeding and another transient cauda equina syndrome after a delayed secondary bleed. Following haematoma evacuation, the latter patient returned to normal neurological status. There was maintenance of a normal segmental lordosis with increased disc height. The fusion rate was 90% by 2 years with a significant improvement in all pain and functional scores (EQ 5D, ODI, Roland-Morris, Health Slider and VAS). CONCLUSION: Although lumbar lysis is largely a benign condition, a subgroup of patients will develop disc degeneration and present with debilitating radicular pain from foraminal stenosis despite minimal listhesis. These patients are well managed with a posterior-based decompression and fusion with the TLIF technique as it provides high radiographic fusion rates with excellent patient outcome.

Palabras clave : spondylolysis; listhesis; lysis; TLIF; adult.

        · texto en Inglés     · Inglés ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons