Vol 4 | Issue 1 | Jan-Jun 2019 | page:12-17 | Amogh Arun Zawar, Shailesh Hadgaonkar, Rajeev Joshi, Madhav Borate, Parag Sancheti, Ashok Shyam
Authors: Amogh Arun Zawar [1], Shailesh Hadgaonkar[1], Rajeev Joshi [1], Madhav Borate [1], Parag Sancheti [1], Ashok Shyam [1]
[1] Department of Orthopaedics, Sancheti Institue of Orthopaedics and Rehabilitation
Address of Correspondence
Dr. Amogh Arun Zawar,
Department of Orthopaedics, Sancheti institute of orthopaedics and rehabilitation, Shivajinagar, Pune.
E-mail: aaz190391@gmail.com
Abstract
Background : Current guidelines for the optimal treatment degenerative spondylolisthesis are weak and based on limited high-quality evidence. There is some moderate evidence that decompression alone may be a feasible treatment with lower surgical morbidity and similar outcomes to fusion when performed in a select population with a low-grade slip. Similarly, addition of interbody fusion may be best suited to a subset of patients with high-grade degenerative spondylolisthesis, although this remains controversial. Minimally invasive techniques are increasingly being utilized for both decompression and fusion surgeries with more and more studies showing similar outcomes and lower postoperative morbidity for patients. This will likely be an area of continued intense research. Finally, the role of spondylolisthesis reduction will likely be determined as further investigation into optimal sagittal balance and spinopelvic parameters is conducted. Future identification of ideal thresholds for sagittal vertical axis and slip angle that will prevent progression and reoperation will play an important role in surgical treatment planning.
Methods : Recent articles were searched on search engines such as PubMed, Google Scholar and additionaly by checking references of different articles.
Summary : Posterolateral spinal fusion remains the treatment of choice, the use of interbodies and decompressions without fusion may be efficacious in certain populations. However, additional high-quality evidence is needed, especially in newer areas of practice such as minimally invasive techniques and sagittal balance correction.
Keywords : ‘Spondylolisthesis’, ‘Recent trends in management’, ‘Fusion techniques’, ‘MI-TLIF’, ‘Pseudarthrosis’
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| How to Cite this Article: Zawar AA, Hadgaonkar S, Joshi R, Borate M, Sancheti P, Shyam A. A review article on recent trends in surgical treatment of spondylolisthesis. Journal of Orthopaedic and Rehabilitation 2019 Jan-Jun; 4(1):12-17. |
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