Surgical Reduction and Direct Repair Using Pedicle Screw-Rod-Hook Fixation in Adult Patients with Low-Grade Isthmic Spondylolisthesis

Background. Although direct pars repair using a pedicle screw-rod-hook system has achieved satisfactory results in patients with spondylolysis, its application in adults with low-grade isthmic spondylolisthesis is rarely reported. Objective. To assess the surgical effect of reduction and direct repa...

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Bibliographic Details
Published in:Pain Research and Management 2022-08, Vol.2022, p.1-7
Main Authors: Gao, Yongjian, Zhao, Chen, Luo, Lei, Liu, Liehua, Liang, Lichuan, Jiang, Dianming, Li, Pei, Zhou, Qiang
Format: Article
Language:English
Subjects:
Adults
Back pain
Care and treatment
Clinical outcomes
Degenerative disc disease
Ethics
Magnetic resonance imaging
Medical research
Medicine, Experimental
Methods
Patients
Physiological aspects
Professional baseball
Range of motion
Spondylolisthesis
Surgery
Surgical outcomes
Variance analysis
Vertebrae
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Summary:Background. Although direct pars repair using a pedicle screw-rod-hook system has achieved satisfactory results in patients with spondylolysis, its application in adults with low-grade isthmic spondylolisthesis is rarely reported. Objective. To assess the surgical effect of reduction and direct repair surgery with a pedicle screw-rod-hook system combined with autogenous bone grafts in adult patients with low-grade isthmic spondylolisthesis. Methods. Sixty-four adult patients with low-grade isthmic spondylolisthesis underwent reduction and direct repair using a pedicle screw-rod-hook system in our department from September 2009 to April 2018. The clinical efficacy was evaluated by clinical and radiological assessments. Results. The average follow-up was 52.15 ± 9.96 months. The visual analog scale (VAS) scores (VAS-lumbar and VAS-leg) and Oswestry Disability Index (ODI) at the final follow-up (FFU) were significantly lower than the preoperative levels P
ISSN:1203-6765
1918-1523
DOI:10.1155/2022/8410519