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spine, spinal fixation, listhesis

Daniel S Yanni, Aurora S Cruz, Alexander Y Halim, Amandip S Gill, Michael G Muhonen, Robert F Heary, Ira M Goldstein
Pediatric spinal trauma can present a surgeon with difficult management decisions given the rarity of these cases, pediatric anatomy, and a growing spine. The need to stabilize a traumatically unstable pediatric spine can be an operative challenge given the lack of instrumentation available. The authors present a surgical technique and an illustrative case that may offer a novel, less disruptive method of stabilization. A 2-year-old girl presented after an assault with an L1-2 fracture subluxation with lateral listhesis and fractured jumped facets exhibited on CT scans...
May 4, 2018: Journal of Neurosurgery. Pediatrics
Vinayak Narayan, Nasser Mohammed, Amey R Savardekar, Devi Prasad Patra, Anil Nanda
INTRODUCTION: Spinal tuberculosis (TB) is a common infectious disease prevalent in developing countries and an increasing issue in developed countries. The association of tuberculosis with spondylolisthesis is rarely reported in literature. The aim of our review is to analyze the clinical features and radiologic characteristics of TB spondylolisthesis and to provide a concise update on its surgical management, based on the literature. METHODS: A systematic review was performed after conducting a thorough search of the PubMed database...
June 2018: World Neurosurgery
Hitesh Lal, Lalit Kumar, Ramesh Kumar, Tankeshwar Boruah, Pankaj Kumar Jindal, Vinod Kumar Sabharwal
BACKGROUND: Pedicle screw fixation in high grade lumbar listhetic vertebral body has been nightmare for Orthopaedic and spine surgeons. This is because of abnormally positioned listhetic pedicles and non-visualization of pedicle in conventional image intensifier (C-Arm). This results into increased surgical time, more blood loss, radiation exposure and more chances of infection. To overcome this problem, we have devised a new Technique of putting of pedicle screw fixation in listhetic vertebrae...
April 2017: Journal of Clinical Orthopaedics and Trauma
Pierce D Nunley, Richard G Fessler, Paul Park, Joseph M Zavatsky, Gregory M Mundis, Juan S Uribe, Robert Eastlack, Stacie Nguyen, Dean Chou, Michael Y Wang, Neel Anand, Adam S Kanter, Christopher I Shaffrey, Praveen V Mummaneni
INTRODUCTION: We investigated Medicare diagnosis-related group (DRG)-based reimbursement for minimally invasive surgery (MIS) deformity procedures in our study group hospitals based on length of stay and presence of comorbid conditions (CC). METHODS: DRG-based reimbursement was obtained for MIS anterior, posterior, and circumferential 1-level and multilevel fusion for listhesis and deformity cases with and without CC from 12 institutions throughout the United States...
August 2016: Neurosurgery
Basem I Awad, Daniel Lubelski, Margaret Carmody, Thomas E Mroz, James S Anderson, Timothy A Moore, Michael P Steinmetz
BACKGROUND: Pedicle fractures in the cervical spine are common. They may occur in isolation or in combination with other concomitant fractures. Multiple classification systems have been introduced to provide a clinical framework when approaching these types of fractures; however, these systems do not provide guidelines for optimal treatment. Data regarding decision making are limited. Conservative treatment with orthoses may result in subluxation and instability requiring further treatment...
November 2014: World Neurosurgery
Sang-Ha Shin, Won-Gyu Choi, Byeong-Wook Hwang, Yi-Sheng Tsang, Ewy-Ryong Chung, Hyeong-Chang Lee, Sang-Jin Lee, Sang-Ho Lee
BACKGROUND CONTEXT: Anterior lumbar interbody fusion (ALIF) with percutaneous pedicle screw fixation (PPF) provides successful surgical outcomes to isthmic spondylolisthesis patients with indirect decompression through foraminal volume expansion. However, indirect decompression through ALIF followed by PPF may not obtain a successful surgical outcome in patients with isthmic spondylolisthesis accompanied by foraminal stenosis caused by a posterior osteophyte or foraminal sequestrated disc herniation...
October 2013: Spine Journal: Official Journal of the North American Spine Society
Christos Karampalis, Michael Grevitt, Masood Shafafy, John Webb
PURPOSE: To report the results of a cohort of patients treated with this technique high lighting radiological and functional outcomes, discussing also benefits arising from a gradual reduction procedure compared with other techniques. METHODS: We evaluated nine patients who have undergone high-grade listhesis reduction and circumferential fusion at our institution from 1988 to 2006. Average length of follow-up was 11 years (5-19). Functional outcomes and radiological measurements were recorded and reported...
May 2012: European Spine Journal
Jin-Sung Kim, Dong-Hyun Kim, Sang-Ho Lee, Choon-Keun Park, Jang-Hoe Hwang, Gene Cheh, Young-Geun Choi, Byung-Uk Kang, Ho-Yeon Lee
BACKGROUND: Instrumented circumferential fusion has been used as a primary and salvage procedure in lumbar spine fusion, especially for adult low-grade isthmic spondylolisthesis. Recently, instrumented anterior lumbar interbody fusion (ALIF) has been shown to provide good clinical and radiologic results that are comparable with those attained with traditional lumbar fusion. However, there have been no reports available that compare instrumented circumferential fusion with instrumented ALIF...
May 2010: World Neurosurgery
Matthew Anthony Kirkman, Krishnamurthy Sridhar
The management of spinal tuberculosis, especially in children, is controversial. In children, vertebral destruction is more severe than adults because of the cartilaginous nature of their bone. Modern chemotherapy has significantly decreased mortality in spinal tuberculosis, but morbidity remains high. Without early surgery, patients can develop severe kyphosis leading to respiratory insufficiency, painful costopelvic impingement and paraplegia. Lumbar kyphosis results in early degenerative lumbar canal stenosis and is cosmetically unacceptable...
January 2011: European Spine Journal
Michael Timothy Hresko, Ryan Hirschfeld, Aaron A Buerk, David Zurakowski
BACKGROUND: Reduction of severe spondylolisthesis is controversial. Publications have emphasized the techniques of reduction and associated complications, but there is little knowledge about the effect of reduction on the sagittal balance of the spine and pelvis in the postoperative patient. This study evaluated the effect of surgical reduction and instrumented fusion of spondylolisthesis on the pelvic anatomy and spinopelvic sagittal balance. METHODS: This is a retrospective study of 26 adolescents (mean age, 13...
March 2009: Journal of Pediatric Orthopedics
R J Friedman, L J Micheli
The association between scoliosis and spondylolisthesis is well documented; however, spondylolisthesis following a posterior spinal fusion with Harrington rod instrumentation for idiopathic scoliosis has not been previously reported. Internal fixation of the spine with metal rods and fusion for scoliosis produces a stress concentration at the immediately adjacent levels. This, combined with other factors that may cause failure of the neural arch, can lead to a traumatic spondylolisthesis. In an 11-year-old boy, localized pain and impending listhesis indicated that the instrumentation should be removed and an arthrodesis completed...
November 1984: Clinical Orthopaedics and related Research
C Argenson, J Lovet, J L Sanouiller, F de Peretti
Traumatic rotatory displacement (TRD) are defined as all slight anterior corporeal displacements (less than 1/3 of the vertebral body) secondary to different vectors, but with a constant and dominant rotatory component. The authors report on 47 cases of TRD (35% of all severe lower cervical spine injuries) (follow-up: 6 months to 7 years). TRD occurs only when two lesions are present: an anterior lesion in the disk and ligaments, and a posterior lesion of the articular process, as the authors confirmed earlier in an experimental study on monkeys and specimens...
July 1988: Spine
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