title: [Surgical possibilities in the alleviation of degenerative vertebral instability].
abstract: The indications for operative treatment of degenerative lumbar instability are spondylolisthesis, spinal stenosis and degenerative disc disease. It is important that the indication is based upon a thorough clinical and radiological assessment of the patient. Psychometric tests should be included in the preoperative evaluation. The surgical technique consists for most of the cases of a dorso-lateral fusion. To increase the fusion rate, a pedicular segmental instrumentation system is used. The clinical results for the treatment of degenerative lumbar instability are in more than 80% acceptable. Best results are achieved in spinal stenosis and spondylolisthesis.
authors.affiliation: Klinik für orthopädische Chirurgie, Inselspital, Bern.
authors.forename: O
authors.initials: O
authors.lastname: Schwarzenbach
mesh_terms: D006801:Humans; D016268:Internal Fixators; D007593:Joint Instability / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D013123:Spinal Fusion / Q000379:methods; D013128:Spinal Osteophytosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013130:Spinal Stenosis / Q000601:surgery; D013168:Spondylolisthesis / Q000601:surgery
vernacular_title: Operative Möglichkeiten zur Behebung degenerativer vertebraler Instabilität.