Selective instrumentation, reduction and repair in low-grade isthmic spondylolisthesis.
We treated 32 patients with low-grade (<30%) isthmic spondylolisthesis at L5-S1 with selective instrumentation, reduction of the slip, resection of the pseudoarthrosis adding autologous bone grafting and decompressing the root canal. The ages ranged from 18 to 54 years. After a mean of 3.4 (1-7) years, we found good radiological and clinical results in 27 patients. Five patients lost correction, of whom three were asymptomatic whereas two required fusion of L5-S1. We think this technique is a useful surgical option for select patients.
Morelos
Oscar
O
Department of Orthopaedic Surgery, Hospital Español de Mexico, Ejercito Nacional 613-Sala 8-5B, CP 11520, Colonia, Granada, Mexico. oscarmorelos@prodigy.net.mx
Pozzo
Alfredo O
AO
D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D016025:Bone Transplantation; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D013168:Spondylolisthesis / Q000601:surgery*