Clinical results after surgical treatment in young male patients with low grade isthmic spondylolisthesis

Purpose:The aim of this study is to evaluate the long term results of surgical treatment in young patients with low grade isthmic spondylolisthesis (IS). Materials and methods:Postoperative clinical results of 42 patients ageing between 20-29 were retrospectively analized in this study. Oswestry Disability Index (ODI) and Visual Analog Scales (VAS) scores were used to compare patients’ preoperative and postoperative pain levels. Results: All patients were male and the mean age of patients was 23.4 (between 20-29). Mean duration of symphtoms was 1.8 years (between 1-4 years). All patients had physical therapy before surgery and 24 patients (%57.1) used lumbosacral brace. Isthmic spndylolisthesis was present in L5-S1 level in 78.5% (n=33) and in L4-5 level in 21.4% (n=9) of the patients. Mean preoperative ODI and VAS scores were 76.68 (between 43-100) and 5.98 (between 3-10), respectively (p

Düşük dereceli i̇stmik spondilolistezis nedeni ile opere edilen 20-29 yaş arası genç erkek hastalarda cerrahi sonrası klinik sonuçlarımız

Amaç: Bu çalışmanın amacı,istmik spondilolistezisli (İS) genç hastalarda cerrahinin uzun dönem sonuçlarını değerlendirmektir. Gereç ve yöntem: Çalışmamızda,20-29 yaş arası cerrahi yapılmış 42 hastanın klinik sonuçlarının restrospektif analiz edilmiştir.Hastaların ağrıların seviyeleri preoperatif ve postoperatif dönemlerde Oswestry Disability Index (ODI) ve Visual Analog Scales (VAS) skorları ile değerlendirildi. Bulgular: Tüm hastalar erkekti ve ortalama yaş 23.4 yıldı (20-29 yıl).Semptomların ortalama süresi 1.8 yıldı (1-4 yıl arası). Tüm hastalar ameliyat öncesi dönemde fizyoterapi görmüştü ve sadece 24 hasta çelik balenli korse kullanmıştı. Hastaların %78.5 (n=33)’inde L5-S1,%21.4 (n=9)’ünde L4-5 seviyesinde istmik spondilolistezis mevcuttu.Preoperatif ODI ve VAS skorları ortalama 76.68 (43-100 arası) ve 5.98 idi (3-10 arası) (p

___

Molinari RW, Sloboda JF, Arrington EC. Low-grade isthmic spondylolisthesis treated with instrumented posterior lumbar interbody fusion in U.S. servicemen. J Spinal Disord Tech 2005;18:24-29.

Mikko P, Ville R, Tommi L, et al. Treatment of Severe spondylolisthesis in adolescence with reduction or fusion in situ: long-term clinical, radiologic, and functional outcome spine 2009;31:583-590.

Lian XF, Hou TS, Xu JG, et al. Single segment of posterior lumbar interbody fusion for adult isthmic spondylolisthesis: reduction or fusion in situ. Eur Spine J 2014;23:172-179.

Xue H, Tu Y, Cai M. Comparison of unilateral versus bilateral instrumented transforaminal lumbar interbody fusion in degenerative lumbar diseases. Spine J 2012;12:209-215.

Kabins MB, Weinstein JN, Spratt KF, et al. Isolated L4- L5 fusions using the variable screw placement system: unilateral versus bilateral. J Spinal Disord 1992;5:39- 49.

Soriano-Sánchez J, Quillo-Olvera J, Soriano-Solis S, et al. A prospective clinical study comparing MI-TLIF with unilateral versus bilateral transpedicular fixation in low grade lumbar spondylolisthesis Spine Surg 2017;3:16-22.

Hackenberg L, Halm H, Bullmann V, Vieth V, Schneider M, Liljenqvist U. Transforaminal lumbar interbody fusion: a safe technique with satisfactory three to five year results. Eur Spine J 2005;14:551-558.

Wang SJ, Han YC, Liu XM et al. Fusion techniques for adult isthmic spondylolisthesis: a systematic review. Arch Orthop Trauma Surg 2014;134:777-784.

Ye YP, Xu H, Chen D. Comparison between posterior lumbar interbody fusion and posterolateral fusion with transpedicular screw fixation for isthmic spondylolithesis: a meta-analysis. Arch Orthop Trauma Surg. 2013;133:1649-1655.

Sigmundsson FG, Jönsson B, Strömqvist B. Outcome of decompression with and without fusion in spinal stenosis with degenerative spondylolisthesis in relation to preoperative pain pattern: a register study of 1,624 patients. Spine J 2015;15:638-646.

Meyerding HW. Spondylolisthesis: Surgical treatment and results. J Bone Joint Surg Am 1943;25:65.

Atabey C, Gocmen S, Simsek H, et al. Surgical results of degenerative spondylolisthesis patients over 70 years old: a single-center experience and clinical outcomes.Turk Neurosurg 2012;22:534-539.

Reames DL, Shaffrey CL. Pediatric spondylolithesis, Youmans Pediatric Neurological Surgey. Ed: Winn HR 6th Ed.2011:2935-2946

Ganju A. Isthmic spondylolisthesis. Neurosurg Focus 2002;13:1-6.

Saraste H. Long-term clinical and radiological followup of spondylolysis and spondylolisthesis. J Pediatr Orthop 1987;7:631-638.

Schulte TL, Ringel F, Quante M, Eicker SO, Muche-Borowski C, Kothe R. Surgery for adult spondylolisthesis: a systematic review of the evidence. Eur Spine J. 2016;25:2359-2367

Thomas R. Jones, Raj D. Rao. Adult Isthmic Spondylolisthesis J Am Acad Orthop Surg 2009;17:609-617.

Sijbrandij S. A new technique for the reduction and stabilisation of severe spondylolisthesis. A report of two cases. J Bone Joint Surg Br 1981;63:266-271.

Shinya O, Takenori O, Ryoji Y, Takamitsu H, Takafumi M, Motoki I. Posterior lumbar interbody fusion with total facetectomy for low-dysplastic isthmic spondylolisthesis: effects of slip reduction on surgical outcomes J Neurosurg Spine 2014;21:171-178.

Audat ZM, Darwish FT, Al Barbarawi MM et al. Surgical management of low grade isthmic spondylolisthesis; a randomized controlled study of the surgical fixation with and without reduction. Scoliosis 2011;6:14.

Poussa M, Schlenzka D, Seitsalo S. Surgical treatment of severe isthmic spondylolisthesis in adolescents. Reduction or fusion in situ. Spine 1993;18:894-901.
Pamukkale Tıp Dergisi-Cover
  • ISSN: 1309-9833
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2008
  • Yayıncı: Prof.Dr.Eylem Değirmenci
Sayıdaki Diğer Makaleler

Sistemik romatizmal hastalıklarda IIF-ANA metoduyla antinükleer antikorlar

SONGÜL ÇİLDAĞ, BERNA KORKMAZGİL, Yasemin KARA, Hacer KALE, Nesim AKİN, TAŞKIN ŞENTÜRK

Kulaklı mesane

Savaş SALDİRAY, Duygu HEREK, SELÇUK YÜKSEL, Özkan HEREK

İzmir'de beslenme ve diyet polikliniğine başvuran kadınlarda obezite prevalansı ve ilişkili risk faktörlerinin belirlenmesi

Gülşah KANER, Nilgün SEREMET KÜRKLÜ, Kübra TEL ADIGÜZEL, Ezgi BELLİKCİ KOYU

Tunika vaginalis flebi ile onarılan parçalı testis rüptürü: Olgu sunumu

Cem BAŞATAÇ

Clinical results after surgical treatment in young male patients with low grade isthmic spondylolisthesis

Ahmet EROĞLU, CEM ATABEY

İdrar yolu enfeksiyonu ön tanılı çocuk hastaların idrar kültürü ve idrar analiz sonuçlarının değerlendirilmesi

FİKRİYE MİLLETLİ SEZGİN, RUKİYE NAR

Düşük dereceli i̇stmik spondilolistezis nedeni ile opere edilen 20-29 yaş arası genç erkek hastalarda cerrahi sonrası klinik sonuçlarımız

Cem ATABEY, Ahmet EROĞLU

Eritema kronikum migrans: Avrupa kökenli iki olgu

Rıdvan GÜNEŞ, Sevgi KILIÇ, Ahu YORULMAZ, Ferda ARTÜZ, Serra KAYAÇETİN

The role of mean platelet volume as a predictor of postoperative shunt occlusion in children who underwent modified blalock-taussig shunt surgery

Ulaş KUMBASAR, Hatice Hale TEMEL, Onur SAYDAM, HASAN TOLGA ÇELİK, MURAT GÜVENER, RIZA DOĞAN, Metin DEMİRCİ, İlhan PAŞAOĞLU

Clay Shoveler’s fraktürü:4 Olgu sunumu

ALİ YILMAZ, TİMUR YILDIRIM, Özge TANİŞMAN, Kadri GÜLEŞÇİ