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Isthmic Lumbar Spondylolisthesis.

Amandeep Bhalla1, Christopher M Bono2

  • 1Spine Trauma, Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA.

Neurosurgery Clinics of North America
|May 13, 2019
PubMed
Summary

Lumbar isthmic spondylolisthesis, a vertebral slippage, can cause leg pain. Surgical treatment, including fusion and nerve decompression, offers good long-term results for persistent symptoms.

Keywords:
Isthmic spondylolisthesisNatural historySurgical treatment

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Lumbar isthmic spondylolisthesis involves vertebral slippage due to pars interarticularis defects.
  • While often asymptomatic, it can cause low back and radicular leg pain.

Purpose of the Study:

  • To review the surgical management of lumbar isthmic spondylolisthesis.
  • To discuss the goals and outcomes of surgical interventions.

Main Methods:

  • Review of current literature on surgical treatments for lumbar isthmic spondylolisthesis.
  • Analysis of surgical goals, including arthrodesis and neurologic decompression.

Main Results:

  • Surgical treatment demonstrates reasonable long-term outcomes for symptomatic patients.
  • Various surgical options exist, with ongoing investigation into patient-specific efficacy.

Conclusions:

  • Surgery is a viable option for persistent symptoms of lumbar isthmic spondylolisthesis.
  • Achieving successful arthrodesis and decompression are key surgical objectives.