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Surgical Reduction and Direct Repair Using Pedicle Screw-Rod-Hook Fixation in Adult Patients with Low-Grade Isthmic Spondylolisthesis.
Gao, Yongjian; Zhao, Chen; Luo, Lei; Liu, Liehua; Liang, Lichuan; Jiang, Dianming; Li, Pei; Zhou, Qiang.
Afiliación
  • Gao Y; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Zhao C; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Luo L; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Liu L; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Liang L; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Jiang D; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Li P; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  • Zhou Q; Department of Orthopedic Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Pain Res Manag ; 2022: 8410519, 2022.
Article en En | MEDLINE | ID: mdl-35991588
Background: Although direct pars repair using a pedicle screw-rod-hook system has achieved satisfactory results in patients with spondylolysis, its application in adults with low-grade isthmic spondylolisthesis is rarely reported. Objective: To assess the surgical effect of reduction and direct repair surgery with a pedicle screw-rod-hook system combined with autogenous bone grafts in adult patients with low-grade isthmic spondylolisthesis. Methods: Sixty-four adult patients with low-grade isthmic spondylolisthesis underwent reduction and direct repair using a pedicle screw-rod-hook system in our department from September 2009 to April 2018. The clinical efficacy was evaluated by clinical and radiological assessments. Results: The average follow-up was 52.15 ± 9.96 months. The visual analog scale (VAS) scores (VAS-lumbar and VAS-leg) and Oswestry Disability Index (ODI) at the final follow-up (FFU) were significantly lower than the preoperative levels (P < 0.05). The modified Prolo score was "excellent" for 60 patients (93.75%) and "good" for 4 patients (6.25%). The slip distance and slipping percentage showed significant decreases postoperatively and FFU compared to preoperatively (P < 0.05). There were no significant differences in the disc height, slip angle, and range of motion of the surgical intervertebral space or upper intervertebral space between preoperation and FFU (P < 0.05). Successful bony fusion had a 96.86% success rate. Conclusion: Reduction of slip and direct repair using pedicle screw-rod-hook fixation combined with autogenous iliac bone grafting in adult patients with low-grade isthmic spondylolisthesis is a safe and effective technique.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Espondilolistesis / Tornillos Pediculares Tipo de estudio: Observational_studies Límite: Adult / Humans Idioma: En Revista: Pain Res Manag Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Espondilolistesis / Tornillos Pediculares Tipo de estudio: Observational_studies Límite: Adult / Humans Idioma: En Revista: Pain Res Manag Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos