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Degenerative Spondylolisthesis.

Theodore D Koreckij1, Jeffrey S Fischgrund

  • 1*Dickson-Diveley Midwest Orthopaedic Clinic, Leawood, KS †Department of Orthopaedics, University of Missouri-Kansas City, Kansas City, MO ‡William Beaumont Hospital, Royal Oak, MI.

Journal of Spinal Disorders & Techniques
|July 15, 2015
PubMed
Summary
This summary is machine-generated.

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Degenerative spondylolisthesis (DS) treatment is evolving, with fusion offering durable results for active patients. However, individualized treatment, including laminectomy, remains crucial for medically infirm individuals with DS.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Degenerative spondylolisthesis (DS) is a common spinal condition with established diagnostic criteria.
  • Treatment paradigms for DS have evolved significantly over the last three decades.
  • Landmark studies and high-quality evidence, such as the Spine Patient Outcomes Research Trial (SPORT), guide current management strategies.

Purpose of the Study:

  • To review the diagnostic approaches to degenerative spondylolisthesis.
  • To discuss the evolution and current treatment options for degenerative spondylolisthesis.
  • To present the author's preferred treatment strategy for degenerative spondylolisthesis.

Main Methods:

  • Literature review of landmark papers and high-quality evidence.

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  • Analysis of treatment arms from the Spine Patient Outcomes Research Trial (SPORT).
  • Discussion of surgical interventions including fusion, laminectomy, and laminoforaminotomy.

    • Main Results:

    • Spinal fusion is often associated with the most durable outcomes, particularly in younger, active patients.
    • Non-fusion procedures like laminectomy and laminoforaminotomy remain relevant treatment options.
    • Optimal treatment for degenerative spondylolisthesis requires individualized patient assessment.

    Conclusions:

    • Degenerative spondylolisthesis management necessitates tailoring treatment to individual patient factors, including age and medical comorbidities.
    • While fusion offers robust results, alternative surgical techniques should be considered based on patient profiles.
    • A comprehensive understanding of diagnostic and therapeutic advancements is key to managing DS effectively.