지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 596 - 603 (8page)
- DOI
- 10.31616/asj.2020.0252
이용수
초록· 키워드
오류제보하기
Study Design: Retrospective case series.
Purpose: This study aimed to analyze how the sagittal spinopelvic alignment is influenced by an attempted surgical reduction of the L5?S1 segment in patients with high-grade spondylolisthesis (HGS).
Overview of Literature: Conventional treatment strategies stress the importance of achieving fusion across the lumbosacral junction in patients with HGS. The role of reduction in this subset of patients is controversial.
Methods: This is a retrospective case series of 35 patients with Meyerding grades III, IV, or V spondylolisthesis who underwent surgical treatment in our institution. Before and after surgery, we took standing lateral radiographs from L1 vertebra to pelvis, including the femoral heads, and measured the slip grade, pelvic incidence, sacral slope, pelvic tilt, lumbosacral angle, and lumbar lordosis. Patients were subdivided into “balanced” and “unbalanced” pelvis groups. To determine the effect and correlation of reduction on these spinopelvic parameters, we statistically compared the pre- and postoperative measurements.
Results: The average follow-up was 9 months (range, 3?169 months). Slip grade improved from an average 74.0%±13.2% to 30.0%±14.0% (p<0.001), and lumbosacral angle reduced from an average 32.0°±11.6° to 6.0°±0.6° (p<0.001). Although the pelvic tilt was reduced, this was not significant. There was a modest negative correlation between the reduction in slip grade and the increase in sacral slope (r=?0.3, p=0.06). At follow-up, five patients improved, from an unbalanced pelvis to a balanced pelvis. Fusion occurred in 33 patients (95%).
Conclusions: Surgical reduction of HGS restores the lumbosacral alignment. However, a similar trend is not noted with the pelvic parameters.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Meyerding HW / 1932 / Spondylolisthesis / Surg Gynecol Obstet 54:371~377
Moller H / 2000 / Surgery versus conservative management in adult isthmic spondylolisthesis : a prospective randomized study : part 1 / Spine(Phila Pa 1976) 25:1711~1715
Ruf M / 2006 / Anatomic reduction and monosegmental fusion in high-grade developmental spondylolisthesis / Spine(Phila Pa 1976) 31:269~274
Dubousset J / 1997 / Treatment of spondylolysis and spondylolisthesis in children and adolescents / Clin Orthop Relat Res 337:77~85
Hresko MT / 2009 / The effect of reduction and instrumentation of spondylolisthesis on spinopelvic sagittal alignment / J Pediatr Orthop 29:157~162
Moller H / 2000 / Surgery versus conservative management in adult isthmic spondylolisthesis : a prospective randomized study : part 1 / Spine(Phila Pa 1976) 25:1711~1715
Ruf M / 2006 / Anatomic reduction and monosegmental fusion in high-grade developmental spondylolisthesis / Spine(Phila Pa 1976) 31:269~274
Dubousset J / 1997 / Treatment of spondylolysis and spondylolisthesis in children and adolescents / Clin Orthop Relat Res 337:77~85
Hresko MT / 2009 / The effect of reduction and instrumentation of spondylolisthesis on spinopelvic sagittal alignment / J Pediatr Orthop 29:157~162
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