Abstract |
We retrospectively reviewed the outcome of uninstrumented posterolateral spinal arthrodesis in 49 patients with lumbar isthmic spondylolisthesis grades I degrees and II degrees in adolescent patients in the time of surgery, who participate at follow-up, between 1980 and 1995. The goal of our study is to analyse the clinical and radiographic imaging at long follow-up in uninstrumented posterolateral arthrodesis and to evaluate the efficiency and the validity of surgical technique in young patients (<18 years). All patients had failed previous conservative treatment. The average age at follow-up was 33.5 years (range 25-42 years) and the average follow-up time was 19.7 years (range 12-27 years). The clinical outcome measures were the Oswestry Disability Index, the SF-36, and the visual analogic score. All measures assessed the endpoint outcomes at 20 years after surgery. The outcome of spinal fusion was good with 43 (87.7%) patients attaining solid fusion, pseudoarthrosis in 6 patients (12.3%). None of our patients complained of excessive postoperative wound pain. Additionally, no complications, such as wound infection, were encountered. Satisfactory results were obtained in 94% of patients and this was closely associated with the rate of successful fusion. The results suggest that clinical outcome is closely related to the attainment of solid fusion.
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Authors | M Girardo, N Bettini, E Dema, S Cervellati |
Journal | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
(Eur Spine J)
Vol. 18 Suppl 1
Pg. 126-32
(Jun 2009)
ISSN: 1432-0932 [Electronic] Germany |
PMID | 19415344
(Publication Type: Journal Article)
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Topics |
- Adult
- Age Factors
- Aging
(physiology)
- Disability Evaluation
- Disease Progression
- Female
- Humans
- Lumbar Vertebrae
(growth & development, pathology, surgery)
- Male
- Middle Aged
- Outcome Assessment, Health Care
- Pain, Postoperative
(epidemiology)
- Postoperative Complications
(diagnostic imaging, epidemiology, pathology)
- Pseudarthrosis
(diagnostic imaging, epidemiology, pathology)
- Radiography
- Retrospective Studies
- Severity of Illness Index
- Spinal Fusion
(methods, standards, statistics & numerical data)
- Spondylolisthesis
(diagnostic imaging, pathology, surgery)
- Surgical Wound Infection
(epidemiology)
- Treatment Outcome
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