[Surgical treatment of spondylolisthesis in Gabon].
OBJECTIVE
Spondylolisthesis is a spinal disease revealed by lombalgia and/or lombosciatalgia, which may persist under medical treatment and physiotherapy. Indications for surgery are impairing symptoms and emergency conditions. We report outcome in 21 patients (14 women, 7 men, aged from 30 to 60 years old) who underwent surgery for isthmic (n = 10) and degenerative (n = 11) spondylolisthesis. Radiographic staging was: I in seven patients, II in ten, and III in four.


METHODS
Many techniques were used: simple laminectomy (n = 4), Gill's operation (n = 4), Lapras' technique (n = 4), and Roy-Camille instrumentation (n = 9).


RESULTS
Immediate and long-term postoperative follow-up of sixteen patients confirm good results: excellent outcome in eleven patients, good in four, and fair in one.


CONCLUSIONS
Considering social and economic factors, we prefer Lapras' technique which provides very satisfactory results.
Iba Ba
J
J
Service de Neurochirurgie, Fondation Jeanne-Ebori, BP 212, Libreville, Gabon. ibabajose@yahoo.fr
Mwanyombet
L
L
Nkoghe
D
D
Assengone Zeh
Y
Y
Chouteau
P-Y
PY
Loembe
P-M
PM
D000328:Adult; D005260:Female; D005681:Gabon; D006801:Humans; D008297:Male; D008875:Middle Aged; D013168:Spondylolisthesis / Q000601:surgery*; D016896:Treatment Outcome