China
Africa
Explore chapters and articles related to this topic
Paediatric Spondylolisthesis
Published in Kelechi Eseonu, Nicolas Beresford-Cleary, Spine Surgery Vivas for the FRCS (Tr & Orth), 2022
Kelechi Eseonu, Nicolas Beresford-Cleary
Q: The patient returns to your clinic after 6 months of non-operative management complaining that the pain is worse, and she has developed right-sided pain radiating to the lateral aspect of her leg and dorsum of the foot. Upright XR demonstrates a Meyerding Grade I spondylolisthesis. How would you proceed with management? Although studies have suggested a benign course in low-grade spondylolisthesis, this patient has progressive pain symptoms and onset of neurology. Surgical options include bilateral pars repair with screws or tension band wiring. Alternatively, posterior instrumented fusion and decompression would successfully stabilise the slip and decompress the nerve root. Studies have demonstrated that in patients who fail non-operative management, surgical fusion results in a high success rate. Evidence is suggestive that high-grade spondylolisthesis may be treated with circumferential fusion, that is anterior fusion with an interbody device and posterior fusion in preference to posterior-only approaches.
Low Back Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
Each of the following factors can reduce the normal space available for the nerves in the spinal canal and can make the spinal nerves more vulnerable to irritation, inflammation, and resultant symptoms of lumbar spinal stenosis: Bulging or herniated discs.Age-related enlargement of ligamentous structures.Formation of bone spurs (osteophytes).Spondylolisthesis, which is the condition of slippage of one vertebra on another due to degeneration of the lumbar discs.Spondylosis, which is the condition of loss of the normal height of the discs between the vertebrae of the spine.Tumors growing in the spine or tumors that originated in another part of the body and spread to the spine.51
Neurosurgery: Spine surgery
Published in Hemanshu Prabhakar, Charu Mahajan, Indu Kapoor, Essentials of Geriatric Neuroanesthesia, 2019
M.V.S. Satya Prakash, M. Senthilnathan
Degenerative diseases of spine can be divided in to four types: Degenerative disc disease: Occurs due to reduced water content, decrease in disc space, and alteration of the collagen content in the disc.Spondylolisthesis: Slipping or displacement of the one vertebra over another. It is common at L4/L5 (3).Prolapse of the disc: Leads to radicular pain of the nerve roots. This occurs due to the irritation and inflammation of the nerve root by the biologically active tissue within the disc, such as nucleus pulposus.Spinal stenosis: Due to narrowing of the spinal canal.
Treatment of L5-S1 spondyloptosis with stand-alone anterior lumbar interbody fusion in a patient with neurofibromatosis
Published in British Journal of Neurosurgery, 2023
Barry Cheaney, Katie L. Krause, Enjae Jung, Khoi D. Than
Neurofibromatosis type 1 (NF1) is associated with spinal dysplasias, including dural ectasia (DE) and spondylolisthesis. DE is an expansion or ballooning of the dural sac, and generally occurs within the lumbosacral region where cerebrospinal fluid (CSF) pressure is the greatest. DE can then result in posterior vertebral body scalloping and meningocele formation, often causing vertebral subluxation or dislocation.1–3 Grade 5 spondylolisthesis, where one vertebral body has slipped forward on the one below by the full depth of the body, is also known as spondyloptosis.4 Spondylolisthesis and DE can present with low back pain, radiculopathy, neurogenic claudication, and bowel or bladder dysfunction1,2,5–7 that often does not improve with conservative therapy.
One-step insertion of navigated pedicle screws in minimally invasive transforaminal lumbar interbody fusion (MITLIF): preliminary results of a novel technique
Published in British Journal of Neurosurgery, 2021
Ran Harel, Gil Kimchi, Nachshon Knoller
Overall, four patients were operated for one level MITLIF using the one-step technique over the past six months in our department. All patients presented with radiculopathy and low back pain. One patient had grade I spondylolisthesis. All patients had undergone previous discectomy at the fused level. Three patients were operated at the L3-4 level and one at L4-5 level. The mean age was 55 (range 42-73). Mean surgical time was 142 minutes (range: 95-159 min) and mean inclusive screw insertion time was 33min (range 24–36 min). The calculated mean individual screw insertion time was 8.2 min. The mean estimated blood loss was 66 cc (range: minimal to 200 cc). Intraoperative 3D scan demonstrated no pedicle breaches by screws. All patients were discharged home and were not noted to have any post-operative complications. The first follow-up visit was 6 weeks post-operatively. Two patients reported having no pain at all, one patient reported having only slight radicular pain, and one patient reported having severe back pain. Post-operative 6-weeks follow-up imaging revealed the optimal screw position with no screw loosening.
A Rasch analysis of the lumbar spine instability questionnaire
Published in Physiotherapy Theory and Practice, 2021
Luciana Gazzi Macedo, Ayse Kuspinar, Mary Roduta Roberts, Chris G. Maher
The results of this study may have application beyond selecting the best exercise therapy for an individual patient (Macedo et al., 2014). The questionnaire was developed to aid in the differential diagnosis of clinical instability in a model of spondylolisthesis. Current methods of assessing clinical spine instability include radiographic measures (White and Panjabi, 1990) or other clinical tests with poor validity (Alqarni, Schneiders, and Hendrick, 2011). Further studies should test the ability of the questionnaire to discriminate those with true clinical instability such as in a model of spondylolisthesis. The questionnaire may also be an important tool in deriving clinical prediction rules for the selection of appropriate candidates for surgical intervention. Furthermore, the questionnaire needs to be tested with different samples with different clinical presentation, diagnosis and low back pain duration and the development of new items should be considered.