Search for more papers by this author. Posterior lumber interbody fusion PLIF has the theoretical advantage of optimising foraminal decompression, improving sagittal alignment and providing a more consistent fusion mass in adult patients with isthmic spondylolisthesis IS compared to posterolateral fusion PLF. Previous studies with only short-term follow-up have not shown a difference between fusion techniques.
Skip to search form Skip to main content. Surgery versus conservative management in adult isthmic spondylolisthesis--a prospective randomized study: part 1. The evidence for treatment efficacy, however, is weak because prospective randomized studies are lacking.
Historically pain medications, anti-inflammatory drugs, and physiotherapy were prescribed for symptomatic spondylolisthesis in adult patients. However, a recent clinical study a prospective randomized trial pointed out that such a therapeutic approach was ineffective in controlling pain and incapacitation. Further, this study indicated that surgery only brought symptomatic relief in the majority of patients.
This review concluded that outcomes were generally good and better with fusion techniques than with non-operative treatments, but that it was unclear which fusion technique is the best. Given the variation between studies and the limited comparisons with other non-operative treatments, these conclusions should be regarded with caution. To carry out a systematic review of fusion techniques for the treatment of low-grade lumbar isthmic spondylolisthesis in adults. The reference lists of retrieved articles were also checked.
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To compare the differences of spino-pelvic parameters between patients with isthmic spondylolisthesis of different grades, and to investigate the correlation between L5 incidence angle L5I and the percentage of spondylolisthesis. Differences in sagittal parameters among groups were analyzed using independent samples t-test, and Pearsons correlation coefficients were used to investigate the relationship between spino-pelvic parameters and SP. L5I is significantly greater in group B, as compared with control group, while there was no significant difference between group A and control group.
The North American Spine Society recently announced the release of an evidence-based tool to help diagnose and treat adult isthmic spondylolisthesis. The new guidelines provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of adult isthmic spondylolisthesisthe release stated. Each guideline recommendation received a grade from the guideline development committee depending on the strength of the available scientific evidence:.