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Degenerative spondylolisthesis.

M D Brown, J M Lockwood

    Instructional Course Lectures
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Spinal fusion combined with decompression is recommended for degenerative spondylolisthesis, especially in older adults. This approach may reduce the risk of progressive slips after surgery.

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    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Spinal Surgery

    Background:

    • Degenerative spondylolisthesis is a common spinal condition.
    • Surgical outcomes for degenerative spondylolisthesis require further investigation.

    Purpose of the Study:

    • To evaluate the effectiveness of surgical interventions for degenerative spondylolisthesis.
    • To determine if spinal fusion should be more frequently combined with decompression.

    Main Methods:

    • Retrospective, uncontrolled review of 132 patients with degenerative spondylolisthesis.
    • Analysis of surgical procedures, including decompression and spinal fusion.
    • Assessment of outcomes, focusing on progressive slips post-surgery.

    Main Results:

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    • 51 out of 132 patients underwent 83 operative procedures.
    • 14% of surgically treated patients developed progressive slips.
    • 12% of patients undergoing primary surgery for degenerative spondylolisthesis developed progressive symptomatic slips.

    Conclusions:

    • Spinal fusion should be considered more frequently during decompression surgery for degenerative spondylolisthesis.
    • This recommendation holds true even for the majority of patients over 60 years of age.