Abstract | PURPOSE: METHODS: Records of 25 male and 19 female children aged 5 to 14 (mean, 10.2) years who underwent conservative (n=39) or surgical (n=5) treatment for spondylolysis (n=19) or spondylolisthesis (n=25) were reviewed. Conservative treatment involved application of a thoracolumbosacral orthotic brace for all day except bedtime until symptoms resolved and then physiotherapy including exercises to strengthen the abdominal and back muscles and stretching exercises of the hamstrings and hip flexors. Surgery (instrumented posterolateral fusion [n=4] or Wiltse posterolateral fusion [n=1]) with allografts was indicated in patients with refractory pain (n=2) or nerve root irritation (n=1) and in patients with iatrogenic spondylolisthesis (n=2), followed by application of the brace for 3 months and then physiotherapy. Outcome was assessed using the Seitsalo scoring system. RESULTS: The mean follow-up period was 6.5 (range, 3-10) years. No patient developed any postoperative complication. Outcome was excellent in 35 patients, good in 8, and fair in one. All 5 patients who underwent posterolateral fusion for refractory spondylolisthesis achieved good outcome. In 11 patients with spondylolysis, the pars defect healed. None of the spondylolysis progressed to spondylolisthesis. All displacements remained stable, without any progression. CONCLUSION:
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Authors | Andreas Leonidou, Panagiotis Lepetsos, Joseph Pagkalos, Konstantinos Antonis, Ioannis Flieger, Eleftherios Tsiridis, Omiros Leonidou |
Journal | Journal of orthopaedic surgery (Hong Kong)
(J Orthop Surg (Hong Kong))
Vol. 23
Issue 3
Pg. 379-82
(Dec 2015)
ISSN: 2309-4990 [Electronic] England |
PMID | 26715723
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Child
- Child, Preschool
- Exercise Therapy
(methods)
- Female
- Follow-Up Studies
- Humans
- Male
- Retrospective Studies
- Spinal Fusion
(methods)
- Spondylolisthesis
(therapy)
- Spondylolysis
(therapy)
- Treatment Outcome
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