Lumbar spondylolysis and spondylolytic spondylolisthesis: who should be have surgery? An algorithmic approach

Lumbar spondylolysis and spondylolisthesis are common spinal disorders that most of the times are incidental findings or respond favorably to conservative treatment. In a small percentage of the patients, surgical intervention becomes necessary. Because too much attention has been paid to novel surg...

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Bibliographic Details
Published in:Asian spine journal 2014-12, Vol.8 (6), p.856-863
Main Authors: Omidi-Kashani, Farzad, Ebrahimzadeh, Mohamad Hossein, Salari, Saman
Format: Article
Language:English
Subjects:
Algorithms
Back pain
Chronic illnesses
Disability
Edema
Fractures
Lumbosacral Region
Magnetic resonance imaging
Medical imaging
Patients
Posture
Review
Scintigraphy
Spondylolisthesis
Spondylolysis
Surgery
Surgical Procedures
Surgical techniques
Tomography
Vertebrae
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Summary:Lumbar spondylolysis and spondylolisthesis are common spinal disorders that most of the times are incidental findings or respond favorably to conservative treatment. In a small percentage of the patients, surgical intervention becomes necessary. Because too much attention has been paid to novel surgical techniques and new modern spinal implants, some of fundamental concepts have been forgotten. Identifying that small but important number of patients with lumbar spondylolysis or spondylolisthesis who would really benefit from lumbar surgery is one of those forgotten concepts. In this paper, we have developed an algorithmic approach to determine who is a good candidate for surgery due to lumbar spondylolysis or spondylolisthesis.
ISSN:1976-1902
1976-7846
DOI:10.4184/asj.2014.8.6.856