HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000300194 |
Resumo: | Objective:To evaluate a method to reduce high degree spondylolisthesis in adults with monosegmental fixing preserving the adjacent level and the improvement of sagittal balance.Methods:A prospective study, with 12 adult patients with high degree spondylolisthesis (III and IV) in adults who underwent surgery by the same team. We included 7 women and 5 men with a mean age of 37 years and lombosciatalgy that had no improvement with conservative treatment. The surgical technique used was total or partial reduction by Spondylolisthesis Reduction Instrument (SRI) system, with instrumentation only in the affected level, thus sparing the adjacent level, associated with 360ofusion.Results:The L5-S1 level was involved in nine patients, L4-L5 in two, and VT-S1 in one patient. The isthmic type predominated in nine patients, followed by dysplastic type in two, and one iatrogenic spondylolisthesis. These patients were assessed by the Oswestry scale, which showed a preoperative average of 59% and postoperative average of 12.4% (P<0.05). A significant improvement in the average slip angle from 54.66% to 9.5% (35% to 0%) was found. No major complications such as infection, neurological damage or material breaks were observed.Conclusion:The reduction of high degree listhesis instrumenting only the affected level produces good results, with good control of pain and functional improvement of patients. However, a larger follow-up is required to better evaluation. |
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HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATIONSpineSpondylolisthesisLow back painArthrodesisObjective:To evaluate a method to reduce high degree spondylolisthesis in adults with monosegmental fixing preserving the adjacent level and the improvement of sagittal balance.Methods:A prospective study, with 12 adult patients with high degree spondylolisthesis (III and IV) in adults who underwent surgery by the same team. We included 7 women and 5 men with a mean age of 37 years and lombosciatalgy that had no improvement with conservative treatment. The surgical technique used was total or partial reduction by Spondylolisthesis Reduction Instrument (SRI) system, with instrumentation only in the affected level, thus sparing the adjacent level, associated with 360ofusion.Results:The L5-S1 level was involved in nine patients, L4-L5 in two, and VT-S1 in one patient. The isthmic type predominated in nine patients, followed by dysplastic type in two, and one iatrogenic spondylolisthesis. These patients were assessed by the Oswestry scale, which showed a preoperative average of 59% and postoperative average of 12.4% (P<0.05). A significant improvement in the average slip angle from 54.66% to 9.5% (35% to 0%) was found. No major complications such as infection, neurological damage or material breaks were observed.Conclusion:The reduction of high degree listhesis instrumenting only the affected level produces good results, with good control of pain and functional improvement of patients. However, a larger follow-up is required to better evaluation.Sociedade Brasileira de Coluna2015-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000300194Coluna/Columna v.14 n.3 2015reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/S1808-185120151403054375info:eu-repo/semantics/openAccessAbdala,Eduardo Henrique ChiovatoFilgueira,Ériko GonçalvesFerrer,Luciano de AlmeidaNascimento Filho,João de Souzaeng2015-10-23T00:00:00Zoai:scielo:S1808-18512015000300194Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2015-10-23T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION |
title |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION |
spellingShingle |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION Abdala,Eduardo Henrique Chiovato Spine Spondylolisthesis Low back pain Arthrodesis |
title_short |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION |
title_full |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION |
title_fullStr |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION |
title_full_unstemmed |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION |
title_sort |
HIGH DEGREE SPONDYLOLISTHESIS IN ADULTS: MONOSEGMENTAL REDUCTION AND FIXATION |
author |
Abdala,Eduardo Henrique Chiovato |
author_facet |
Abdala,Eduardo Henrique Chiovato Filgueira,Ériko Gonçalves Ferrer,Luciano de Almeida Nascimento Filho,João de Souza |
author_role |
author |
author2 |
Filgueira,Ériko Gonçalves Ferrer,Luciano de Almeida Nascimento Filho,João de Souza |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Abdala,Eduardo Henrique Chiovato Filgueira,Ériko Gonçalves Ferrer,Luciano de Almeida Nascimento Filho,João de Souza |
dc.subject.por.fl_str_mv |
Spine Spondylolisthesis Low back pain Arthrodesis |
topic |
Spine Spondylolisthesis Low back pain Arthrodesis |
description |
Objective:To evaluate a method to reduce high degree spondylolisthesis in adults with monosegmental fixing preserving the adjacent level and the improvement of sagittal balance.Methods:A prospective study, with 12 adult patients with high degree spondylolisthesis (III and IV) in adults who underwent surgery by the same team. We included 7 women and 5 men with a mean age of 37 years and lombosciatalgy that had no improvement with conservative treatment. The surgical technique used was total or partial reduction by Spondylolisthesis Reduction Instrument (SRI) system, with instrumentation only in the affected level, thus sparing the adjacent level, associated with 360ofusion.Results:The L5-S1 level was involved in nine patients, L4-L5 in two, and VT-S1 in one patient. The isthmic type predominated in nine patients, followed by dysplastic type in two, and one iatrogenic spondylolisthesis. These patients were assessed by the Oswestry scale, which showed a preoperative average of 59% and postoperative average of 12.4% (P<0.05). A significant improvement in the average slip angle from 54.66% to 9.5% (35% to 0%) was found. No major complications such as infection, neurological damage or material breaks were observed.Conclusion:The reduction of high degree listhesis instrumenting only the affected level produces good results, with good control of pain and functional improvement of patients. However, a larger follow-up is required to better evaluation. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000300194 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000300194 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1808-185120151403054375 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.14 n.3 2015 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
_version_ |
1752126615082500096 |