Spondylolisthesis in young patients: postoperative functional outcomes at 22-year mean follow-up

被引:0
作者
Barone, Giuseppe [1 ]
Scaramuzzo, Laura [1 ]
Giudici, Fabrizio [1 ]
Manzini, Francesco [1 ]
Minoia, Leone [1 ]
Archetti, Marino [1 ]
Zagra, Antonino [1 ]
机构
[1] IRCCS Ist Ortoped Galeazzi, Spine Surg Div 1, Via R Galeazzi 6, I-20161 Milan, Italy
关键词
Developmental spondylolisthesis; Sport recovery; Function outcomes; SEGMENTAL WIRE FIXATION; ISTHMIC SPONDYLOLISTHESIS; PEDICLE SCREW; SPONDYLOLYSIS; REPAIR; FUSION; RETURN; DEFECT;
D O I
10.1007/s00402-021-04006-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction Previous short- and intermediate-term clinical and radiographic studies demonstrated good results in patients who underwent spine surgery for spondylolisthesis, long-term outcomes are lacking instead. Young patients are often involved in high-demanding and sport activities, therefore good/excellent functional outcomes are very important for their future quality of life. The aim of this study is to assess the long-term functional results in young patients surgically treated for developmental spondylolisthesis. Materials and methods Retrospective evaluation of consecutive patients who underwent lumbar surgery for spondylolisthesis. Inclusion criteria were: spondylolisthesis from grade 1 to spondyloptosis, age at surgery < 25 years, follow-up > 15 years. The following outcomes were assessed: VAS back, VAS leg, Oswestry disability index (ODI) score, Short Form 12 (SF-12), rate of revision surgery, postoperative recovery and sport activity. Results 113 patients were enrolled. Mean age at surgery was 19.8 years and mean follow-up was 22.1 years (16-32). 16 patients (14.2%) needed revision surgery. Functional outcomes at last follow-up were: VAS back = 1.6, VAS leg = 1.4, ODI = 9.2%, SF-12 physical component summary = 50, SF-12 mental component summary = 48.7. Significant differences were assessed in terms of ODI (p = 0.047) and SF-12 PCS (p = 0.015) between group treated with instrumented and non-instrumented techniques. Among the patients who practiced a sport, 87% returned to sport postoperatively (55% at medium-high-intensity level). Conclusion This study shows good long-term functional outcomes in patients surgically treated for developmental spondylolisthesis. After surgery, there is a low incidence of back pain, the residual disability is mild and almost half of patients recover the same level of sport activity. Instrumented surgical techniques developed over the years seem to be related to high revision rate, but this does not affect long-term functional results.
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页码:97 / 106
页数:10
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