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Isthmic spondylolisthesis and interspinous process device. Hype, hope, or contraindication?
V Pipola1, A Gasbarrini, M Girolami
1Department of Oncologic and Degenerative Spine Surgery. IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. valeriopipola@gmail.com.
European Review for Medical and Pharmacological Sciences
|April 10, 2019
Summary
Interspinous Process Devices (IPDs) are ineffective for treating Lumbar Isthmic Spondylolisthesis (LIS). Revision surgery with Transforaminal Lumbar Interbody Fusion (TLIF) improved patient outcomes.
Area of Science:
- Spine surgery
- Orthopedic surgery
- Biomedical engineering
Background:
- Lumbar Isthmic Spondylolisthesis (LIS) is a spinal condition often treated surgically.
- Interspinous Process Devices (IPDs) are used to stabilize the spine.
- The effectiveness of IPDs in LIS requires further investigation.
Observation:
- A 37-year-old male with L5-S1 grade 2 LIS experienced worsening pain after IPD implantation.
- Revision surgery involved removing the IPD and performing a Transforaminal Lumbar Interbody Fusion (TLIF).
Findings:
- The patient showed significant improvement in pain, functionality, and quality of life after TLIF.
- CT scans at 6 and 12 months confirmed fusion and implant stability post-revision.
Implications:
- IPDs may be ineffective for LIS due to the biomechanics of the condition, potentially leading to slippage and kyphosis.
- TLIF is a viable alternative for revision surgery in cases of LIS treated with IPDs.
- Further research is needed to establish optimal surgical strategies for LIS.
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