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Treatment of Lumbar Spondylolisthesis in the Elderly
Daniel T Lilly1, Robert Winkelman1, Arpan A Patel1
1Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH 44195, USA; Cleveland Clinic Center for Spine Health, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Abstract:
As the number of elderly patients living with lumbar spondylolisthesis continues to rise in the coming decades, surgical evaluation of these patients will likewise increase. Strong evidence exists that elderly patients who fail conservative management benefit from surgery; however, the optimal surgical method based on various patient and radiographic factors remains actively investigated. As surgical techniques continue to evolve, and more clinical trials are completed, further individualized approaches to patients with degenerative spondylolisthesis will be facilitated. While instrumentation can be safely and effectively utilized in appropriately selected elderly patients, evaluation and mitigation of osteoporosis is key to surgical success.
