Transvertebral pedicle fixation in severe grade spondylolisthesis. Report of three cases.
The ideal treatment for spinal stabilization of Myerding Grade III-IV spondylolisthesis remains controversial, with a variety of techniques having been described. The authors report on a consecutive series of three adult patients with high-grade slippage who were treated with transvertebral pedicle fixation and standard spinal instrumentation, as both primary and revision procedures. There were no complications from the procedure, and a good outcome was achieved in all patients. The results at 4- to 8-year follow-up review are presented. This is a relatively simple and safe method of achieving spinal stabilization, which bypasses some of the problems caused by the associated anatomical distortion in high-grade spondylolisthesis and has good results at midterm follow up.
Chell
J
J
Department of Orthopaedics, Derbyshire Royal Infirmary, Derby, United Kingdom. julian@jchell.fsnet.co.uk
Quinnell
R C
RC
D000328:Adult; D001863:Bone Screws; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012008:Recurrence; D012086:Reoperation; D013123:Spinal Fusion / Q000379:methods*; D013168:Spondylolisthesis / Q000000981:diagnostic imaging / Q000601:surgery*