Reduction of spondylolisthesis.
In this article the authors discuss the syndrome of isthmic spondylolisthesis occurring at the lumbosacral junction in adults, providing a description of the clinical syndrome, altered biomechanics, and imaging characteristics. The authors pose arguments in favor of reduction and instrument-assisted fusion. Their surgical technique is detailed. They describe transsacral interbody fusion in which fibular allograft and in situ fixation are used, which they consider the second-best alternative technique when attempts at reduction fail.
Rengachary
Setti S
SS
Department of Neurosurgery, Spine Surgery Service, Wayne State University School of Medicine, Detroit Medical Center, Detroit, Michigan 48201, USA. srengachary@neurosurgery.wayne.edu
Balabhandra
Raju
R
D001696:Biomechanical Phenomena; D019299:Decompression, Surgical; D006801:Humans; D012720:Severity of Illness Index; D013123:Spinal Fusion; D013168:Spondylolisthesis / Q000503:physiopathology / Q000601:surgery*