Surgical Treatment of Lumbar Spondylolisthesis in the Elderly

被引：11

作者：

Chakravarthy, Vikram ^{[1
]}

Patel, Arpan ^{[2
]}

Kemp, William ^{[1
]}

Steinmetz, Michael ^{[1
]}

机构：

[1] Case Western Reserve Univ, Cleveland Clin, Learner Coll Med, Dept Neurosurg, 9500 Euclid Ave, Cleveland, OH 44106 USA

[2] Univ Arizona, Sch Med, 1501 N Campbell Ave, Tucson, AZ 85724 USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2019年 / 30卷 / 03期

关键词：

Lumbar spondylolisthesis; Elderly; Surgical management; Decompression plus fusion; Lumbar; 4; to; 5; Decompression alone; Interbody fusion; VERTEBRAL FRACTURE RISK; DEGENERATIVE SPONDYLOLISTHESIS; INTERBODY FUSION; SPINAL STENOSIS; NONOPERATIVE TREATMENT; MEDICAL-MANAGEMENT; SCREW FIXATION; SURGERY; OUTCOMES; COMPLICATIONS;

D O I：

10.1016/j.nec.2019.02.008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

By 2060, population projections estimate the number of individuals older than 65 will double. Prevalence of degenerative spondylolisthesis is reported as 4.1%11.1% within the general population. Given the growing older population, the need for evidence-based guidance is essential. Regarding benefit derived from decompression alone versus decompression plus fusion for degenerative spondylolisthesis, the consensus is that all patients do not require a fusion; however, clarity around clearly identifying this cohort is lacking. Nevertheless, instrumented fusion is an effective strategy in the elderly. Numerous options exist, and individual patient characteristics as well as surgeon experience should be evaluated when planning surgery.

引用

页码：341 / +

页数：13

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