Correlation of reduction and clinical outcome in patients with degenerative spondylolisthesis

Study design Prospective cohort study. Introduction Operative treatment is increasingly implemented for the treatment of degenerative lumbar listhesis, with lumbar fusion the most common intervention. Prediction of clinical outcomes after such procedures is of ongoing relevance, and the correlation...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2013-12, Vol.133 (12), p.1639-1644
Main Authors: Wegmann, K., Gundermann, S., Siewe, J., Eysel, P., Delank, K.-S., Sobottke, R.
Format: Article
Language:English
Subjects:
Adult
Aged
Clinical outcomes
Female
Humans
Lumbar Vertebrae
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopaedic Surgery
Orthopedics
Prospective Studies
Quality of Life
Spinal Fusion
Spondylolisthesis - diagnosis
Spondylolisthesis - surgery
Treatment Outcome
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Summary:Study design Prospective cohort study. Introduction Operative treatment is increasingly implemented for the treatment of degenerative lumbar listhesis, with lumbar fusion the most common intervention. Prediction of clinical outcomes after such procedures is of ongoing relevance, and the correlation of radiologic parameters with clinical outcome remains controversial. In particular, clinical studies have not determined conclusively whether reduction of slipped vertebrae is beneficial. Methods We performed a monocenter prospective analysis of a comprehensive set of quality of life scores (QLS) (Core Outcome Measure Index, Oswestry Low Back Pain Disability Index, SF-36) of 40 patients, who underwent a standardized PLIF procedure for symptomatic, Spondylolisthesis. Follow-up was 24 months. The correlations between the radiologic parameters (degree of slippage, sagittal rotation) and the clinical scores before surgery as well as 12 and 24 months post-operatively were examined. Results All QLS showed a statistically significant improvement after 12 and 24 months post-operatively ( p  
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-013-1857-8