Management of High-Grade Spondylolisthesis

被引:30
作者
Kasliwal, Manish K. [1 ]
Smith, Justin S. [1 ]
Kanter, Adam [2 ]
Chen, Ching-Jen [1 ]
Mummaneni, Praveen V. [3 ]
Hart, Robert A. [4 ]
Shaffrey, Christopher I. [1 ]
机构
[1] Univ Virginia, Dept Neurosurg, Charlottesville, VA 22908 USA
[2] Univ Pittsburgh, Dept Neurosurg, Med Ctr, UPMC Presbyterian, Pittsburgh, PA 15213 USA
[3] Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA 94143 USA
[4] Oregon Hlth & Sci Univ, Dept Orthopaed Surg, Portland, OR 97239 USA
关键词
Adolescents; Adult spondylolisthesis; Classification; High-grade spondylolisthesis; Management; Surgery; Complications; FUSION IN-SITU; ISTHMIC SPONDYLOLISTHESIS; SURGICAL-TREATMENT; FOLLOW-UP; DEVELOPMENTAL SPONDYLOLISTHESIS; LUMBOSACRAL SPONDYLOLISTHESIS; INTERBODY FUSION; SPINAL DEFORMITY; PELVIC INCIDENCE; INSTRUMENTED REDUCTION;
D O I
10.1016/j.nec.2012.12.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Management of high-grade spondylolisthesis (HGS) remains challenging and is associated with significant controversies. The best surgical procedure remains debatable. Although the need for instrumentation is generally agreed upon, significant controversies still surround the role of reduction and anterior column support in the surgical management of HGS. Complications with operative management of HGS can be significant and often dictate the selection of surgical approach. This review highlights the pathophysiology, classification, clinical presentation, and management controversies of HGS, in light of recent advances in our understanding of the importance of sagittal spinopelvic alignment and technologic advancements.
引用
收藏
页码:275 / +
页数:19
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