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>Journals >Cirugía y Cirujanos >Year 2006, Issue 1


Rosales-Olivares LM, Ruiz-Morfín A, Miramontes-Martínez VP, Alpízar-Aguirre A, Reyes-Sánchez AA
Stability effect of the suprajacent vertebrae after fixation in spondylolisthesis. Comparative study of two systems
Cir Cir 2006; 74 (1)

Language: Español
References: 76
Page: 27-35
PDF: 89.29 Kb.

[Full text - PDF]

ABSTRACT

Background: This study was undertaken to evaluate vertebral stability after two different types of fusion fixation (rigid and semirigid) in spondylolisthesis. Material and methods: Ambispective study of a dynamic cohort constituted by 42 patients that underwent surgery between 1990 and 2000 for a spondilolistesis treatment. According to the fixing type, they were divided into two follow-up groups: to group 1, plate INO (semirigid system) was placed + posterolateral fusion (PLF), 20 cases; to group 2, plate INO was installed + intersomatic screw + PLF, 22 cases.
Results: Both groups achieved better listhesis, reduced pain according to Oswestry and SF36 Index (p <0.05), and less intervertebral height was lost. Group 1 lost the least amount (-0.61 mm) of invertebral height if grades of presurgical listhesis were 1-2, and higher (-2.0 mm) if grades of presurgical listhesis were 3-4. Inversely, group 2 lost the least (0.50 mm) if grade of listhesis was 3 or 4, and higher (-1.25 mm) if grades of listhesis were 1-2. From 4 to 7 years, in group 2 there was altered bending of 5.8º to 8.3º (p = 0.05), a significant difference from group 1. Group 2 showed higher flexion grades (p = 0.01) at 4-7 years postoperatively and a significant reduction in EVA (p = .04) at more than 7 years. The remaining patients showed no significant differences between groups. But loss of intervertebral height was higher in group 2 (-1.18 mm) than group 1 (-0.75 mm). Plate INO + PLF favored flexibility and reduced loss of intervertebral height in grades 1-2 of presurgical listhesis, INO + screw + PLF showed reduced listhesis and decrease of height lost in grades 3-4 of presurgical listhesis.
Conclusions: We recommended the use of INO + PLF in grades 1-2 of presurgical listhesis and INO + screw + PLF in grades 3-4 of listhesis presurgically.


Key words: Spondylolisthesis, discal degeneration, transpedicular fixation, interbody fusion, segmental adjacent disease.


REFERENCES

  1. Kuklo TR, Bridwell KH, Lewis SJ, et al. Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine 2001;26(18):1976-1983.

  2. Dimar JR, Hoffman G. Grade 4 spondylolisthesis. Two-stage therapeutic approach of anterior vertebrectomy and anterior-posterior fusion. Orthop Rev 1986;15(8):504-509.

  3. Bradford DS, Boachie-Adjei O. Treatment of severe spondylolisthesis by anterior and posterior reduction and stabilization. A longterm follow-up study. J Bone Joint Surg Am 1990;72(7):1060-1066.

  4. Kimura I, Shingu H, Murata M, Hashiguchi H. Lumbar posterolateral fusion alone or with transpedicular instrumentation in L4-L5 degenerative spondylolisthesis. J Spinal Disord 2001;14(4):301-310.

  5. Knight M, Goswami A. Management of isthmic spondylolisthesis with posterolateral endoscopic foraminal decompression. Spine 2003;28(6):573-581.

  6. Kinoshita T, Ohki I, Roth KR, Amano K, Moriya H. Results of degenerative spondylolisthesis treated with posterior decompression alone via a new surgical approach. J Neurosurg 2001;95(1 Suppl):11-16.

  7. Johnson LP, Nasca RJ, Dunham WK. Surgical management of isthmic spondylolisthesis. Spine 1988;13(1):93-97.

  8. Damián NZ, Reyes-Sánchez A, Domínguez HVM, Urriolagoitia CG, Hernández GLH. Estudio mecánico del fijador interno de columna INO. I: Comportamiento de carga cuasiestática de flexocompresión. Rev Mex Ort Traum 2000;14(11):9-15.

  9. Magadán S, Reyes-Sánchez A, Rosales LM, Miramontes V. Resultados y complicaciones del uso de tornillos transpediculares de la columna vertebral en el INO. Rev Mex Ort Traum 1997;11(3):148-155.

  10. Reyes JE, Rosales LM, Reyes-Sánchez A, Miramontes V. Resultados y complicaciones del sistema de fijación vertebral toracolumbar INO. Rev Mex Ort Traum 1996;10(6):276-283.

  11. Rosales LM, Reyes-Sánchez A, Miramontes V. Tratamiento de la espondilolistesis con placas INO y tornillo intersomático. Rev Mex Ort Traum 1997;11(3):156-158.

  12. Rosales LM, Reyes-Sánchez A, Miramontes V. Tratamiento de la espondilolistesis con placas y tornillos transpediculares tipo INO. Rev Mex Ort Traum 1996;10(2):66-69.

  13. Rosales LM, Reyes-Sánchez A, Miramontes V. Tratamiento de la espondilolisis con espondilolistesis menor de 25%, mediante reparación del defecto. Rev Mex Ort Traum 1997;11(3):181-183.

  14. Thalgott JS, Sasso RC, Cotler HB, Aebi M, LaRocca SH. Adult spondylolisthesis treated with posterolateral lumbar fusion and pedicular instrumentation with AO DC plates. J Spinal Disord 1997;10(3):204-208.

  15. Mochida J, Suzuki K, Chiba M. How to stabilize a single level lesion of degenerative lumbar spondylolisthesis. Clin Orthop 1999;368: 126-134.

  16. Jeanneret B, Miclau T, Kuster M, Neuer W, Magerl F. Posterior stabilization in L5-S1 isthmic spondylolisthesis with paralaminar screw fixation: anatomical and clinical results. J Spinal Disord 1996;9(3):223-233.

  17. Adam FF. Modified sacrospinalis muscle pedicle bone graft for fusion of isthmic spondylolisthesis. Int Orthop 2001;25(5):326-330.

  18. Vamvanij V, Ferrara LA, Hai Y, Zhao J, Kolata R, Yuan HA. Quantitative changes in spinal canal dimensions using interbody distraction for spondylolisthesis. Spine 2001;26(3):E13-E18.

  19. Tsantrizos A, Baramki HG, Zeidman S, Steffen T. Segmental stability and compressive strength of posterior lumbar interbody fusion implants. Spine 2000; 25(15):1899-1907.

  20. Spruit M, Pavlov PW, Leitao J, De Kleuver M, Anderson PG, Den Boer F. Posterior reduction and anterior lumbar interbody fusion in symptomatic low-grade adult isthmic spondylolisthesis: short-term radiological and functional outcome. Eur Spine J 2002;11(5): 428-434.

  21. Slosar PJ, Reynolds JB, Koestler M. The axial cage. A pilot study for interbody fusion in higher-grade spondylolisthesis. Spine J 2001;1(2):115-120.

  22. Bartolozzi P, Sandri A, Cassini M, Ricci M. One-stage posterior decompression-stabilization and trans-sacral interbody fusion after partial reduction for severe L5-S1 spondylolisthesis. Spine 2003; 28(11):1135-1141.

  23. Zhao J, Wang X, Hou T, He S. One versus two BAK fusion cages in posterior lumbar interbody fusion to L4-L5 degenerative spondylolisthesis: a randomized, controlled prospective study in 25 patients with minimum two-year follow-up. Spine 2002;27(24):2753-2757.

  24. Epstein NE. Decompression in the surgical management of degenerative spondylolisthesis: advantages of a conservative approach in 290 patients. J Spinal Disord 1999;12(1):80.

  25. Rechtine GR, Sutterlin CE, Wood GW, Boyd RJ, Mansfield FL. The efficacy of pedicle screw/plate fixation on lumbar/lumbosacral autogenous bone graft fusion in adult patients with degenerative spondylolisthesis. J Spinal Disord 1996;9(5):382-391.

  26. Nork SE, Hu SS, Workman KL, Glazer PA, Bradford DS. Patient outcomes after decompression and instrumented posterior spinal fusion for degenerative spondylolisthesis. Spine 1999;24(6):561-569.

  27. Schlegel KF, Pon A. The biomechanics of posterior lumbar interbody fusion (PLIF) in spondylolisthesis. Clin Orthop 1985;193:115-119.

  28. Ogilve J. Complications in spondylolisthesis surgery. Spine 2005; 30(6S):S97-S101.

  29. McAfee P, DeVine JG, Chaput CD, et al. The indications for interbody fusion cages in the treatment of spondylolisthesis: analysis of 120 cases. Spine 2005;30(6S):S60-S65.

  30. Mardjetko S, Albert T, Andersson G, et al. Spine/SRS spondylolisthesis summary statement. Spine 2005;30(6S):S3.

  31. Hammerberg K. New concepts in the pathogenesis and classification of spondylolisthesis. Spine 2005:30(6S):S4-S11.

  32. Brian K, Todd JA. Adult low grade acquired spondylolytic spondylolisthesis. Evaluation and management. Spine 2005;30(6S):S35-S41.

  33. Stonecipher T, Wright S. Posterior lumbar interbody fusion with facet-screw fixation. Spine 1989;14(4):468-471.

  34. Grzegorzewski A, Kumar SJ. In situ posterolateral spine arthrodesis for grades III, IV, and V spondylolisthesis in children and adolescents. J Pediatr Orthop 2000;20(4):506-511.

  35. Dai LY, Jia LS, Yuan W, Ni B. Direct repair of defect in lumbar spondylolysis and mild isthmic spondylolisthesis by bone grafting, with or without facet joint fusion. Eur Spine J 2001;10(1):78-83.

  36. Kai Y, Oyama M, Morooka M. Posterior lumbar interbody fusion using local facet joint autograft and pedicle screw fixation. Spine 2004;29(1):41-46.

  37. Konno S, Kikuchi S. Prospective study of surgical treatment of degenerative spondylolisthesis: comparison between decompression alone and decompression with graft system stabilization. Spine 2000;25(12):1533-1537.

  38. Fischgrund JS, Mackay M, Herkowitz HN, Brower R, Montgomery DM, Kurz LT. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal instrumentation. Spine 1997;22(24):2807-2812.

  39. Bjarke Christensen F, Stender Hansen E, Laursen M, Thomsen K, Bunger CE. Long-term functional outcome of pedicle screw instrumentation as a support for posterolateral spinal fusion: randomized clinical study with a 5-year follow-up. J Bone Joint Surg Am 2003; 85A(2):385-390.

  40. Kim NH, Lee JW. Anterior interbody fusion versus posterolateral fusion with transpedicular fixation for isthmic spondylolisthesis in adults. A comparison of clinical. Spine 1999;24(8):812-817.

  41. Madan S, Boeree NR. Outcome of posterior lumbar interbody fusion versus posterolateral fusion for spondylolytic spondylolisthesis. Spine 2002;27(14):1536-1542.

  42. Moller H, Hedlund R. Instrumented and noninstrumented posterolateral fusion in adult spondylolisthesis¾a prospective randomized study: Part 2. Spine 2000;25(13):1716-1721.

  43. La Rosa G, Conti A, Cacciola F, et al. Pedicle screw fixation for isthmic spondylolisthesis: does posterior lumbar interbody fusion improve outcome over posterolateral fusion? J Neurosurg 2003;99 (2Suppl):143-150.

  44. Suk SI, Lee CK, Kim WJ, Lee JH, Cho KJ, Kim HG. Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral fusion after decompression in spondylolytic spondylolisthesis. Spine 1997;22(2):210-220.

  45. Csecsei GI, Klekner AP, Dobai J, Lajgut A, Sikula J. Posterior interbody fusion using laminectomy bone and transpedicular screw fixation in the treatment of lumbar spondylolisthesis. Surg Neurol. 2000;53(1):2-7.

  46. Johnsson R, Axelsson P, Gunnarsson G, Stromqvist B. Stability of lumbar fusion with transpedicular fixation determined by roentgen stereophotogrammetric analysis. Spine 1999;24(7):687-690.

  47. Laursen M, Thomsen K, Eiskjaer SP, Hansen ES, Bunger CE. Functional outcome after partial reduction and 360 degree fusion in grade III-V spondylolisthesis in adolescent and adult patients. J Spinal Disord 1999;12(4):300-306.

  48. Oda I, Abumi K, Yu BS, Sudo H, Minami A. Types of spinal instability that require interbody support in posterior lumbar reconstruction: an in vitro biomechanical investigation. Spine 2003;28(14):1573-1580.

  49. Fabris DA, Costantini S, Nena U. Surgical treatment of severe L5-S1 spondylolisthesis in children and adolescents. Results of intraoperative reduction, posterior interbody fusion, and segmental pedicle fixation. Spine 1996;21(6):728-733.

  50. Noack W, Raetzel G. Treatment of spondylolisthesis in adults using the dorsal approach with the fixateur interne and a special repositioning device. Z Orthop Ihre Grenzgeb 1988;126(2):205-210.

  51. Reyes-Sánchez A, Miramontes V, Rosales LM. Instrumentación con marco de luque, con alambrado interapofisario y sublaminar, más artrodesis posterolateral en el tratamiento de la espondilolistesis L5-S1. Rev Mex Ort Traum 2002;16(1):16-19.

  52. Bernicker JP, Kohl HW 3rd, Sahni I, Esses SI. Long-term functional and radiographic follow-up of surgically treated isthmic spondylolisthesis. Am J Orthop 1999;28(11):631-636.

  53. Muschik M, Zippel H, Perka. Surgical management of severe spondylolisthesis in children and adolescents. Anterior fusion in situ versus anterior spondylodesis with posterior transpedicular instrumentation and reduction. Spine 1997;22(17):2036-2043.

  54. Vaccaro AR, Ring D, Scuderi G. Predictors of outcome in patients with chronic back pain and low-grade spondylolisthesis. Spine 1997; 22(17):2030-2035.

  55. Moller H, Hedlund R. Surgery versus conservative management in adult isthmic spondylolisthesis: a prospective randomized study. I. Spine 2001;26(5):594-595.

  56. Ido K, Urushidani H. Radiographic evaluation of posterolateral lumbar fusion for degenerative spondylolisthesis: long-term follow-up of more than 10 years vs. midterm. Neurosurg Rev 2001;24(4):195-199.

  57. Miyakoshi N, Abe E, Shimada Y, Okuyama K, Suzuki T, Sato K. Outcome of one-level posterior lumbar interbody fusion for spondylolisthesis and postoperative intervertebral disc degeneration adjacent to the fusion. Spine 2000;25(14):1837-1842.

  58. Tsuji H, Ishihara H, Matsui H, Hirano N, Ohshima H. Anterior interbody fusion with and without interspinous block implementation for lumbar isthmic spondylolisthesis. J Spinal Disord 1994;7(4):326-330.

  59. Ishihara H, Osada R, Kanamori M, Kawaguchi Y, Ohmori K. Minimum 10-year follow-up study of anterior lumbar interbody fusion for isthmic spondylolisthesis. J Spinal Disord 2001;14(2):91-99.

  60. Seitsalo S, Schlenzka D, Poussa M. Disc degeneration in young patients with isthmic spondylolisthesis treated operatively or conservatively: a long-term follow-up. Eur Spine J 1997;6(6):393-397.

  61. Keith D, Chow D, Holmes A. Vertical instability in spondylolisthesis. Spine 2003; 28(8):819:827.

  62. Kawakami M, Tamaki T, Ando M. Lumbar sagittal balance influences the clinical outcome after decompression and posterolateral spinal fusion for degenerative lumbar spondylolisthesis. Spine 2002;27(1):59-64.

  63. Hanson DS, Bridwell KH, Rhee JM. Correlation of pelvic incidence with low- and high-grade isthmic spondylolisthesis. Spine 2002;27 (18):2026-2029.

  64. Jackson RP, Phipps T, Hales C. Pelvic lordosis and aligment in spondylolisthesis. Spine 2003;28(2):151-160.

  65. Reyes-Sánches A, Miramontes V, Rosales LM. Medición radiológica de los rangos de movilidad traslacional y angulatoria en sujetos sanos de nuestro medio. Rev Mex Ort Traum 1998;12(6):526-539.

  66. Boden SD, Wiesel SW. Lumbosacral segmental motion in normal individuals: have we been measuring instability properly. Spine 1990;15:571-576.

  67. Putto E. Talroth K. Extension-flexion radiographs for motion studies of the lumbar spine: a comparison of two methods. Spine 1990; 15:107-110.

  68. Stone AT, Tribus CB. Acute progression of spondylolysis to isthmic spondylolisthesis in an adult. Spine 2002;27(16):E370-372.

  69. Floman Y. Progression of lumbosacral isthmic spondylolisthesis in adults. Spine 2000;25(3):342-347.

  70. Beutler WJ, Fredrickson BE, Murtland A. The natural history of spondylolysis and spondylolisthesis. Spine 2003;28(10):1027-1035.

  71. Amundson G, Edwars CH CC, Garfin SR. Espondilolistesis. In: Rothman RH, Simeone FA, eds. Columna Vertebral. Cuarta edición. México: Ed. McGraw Hill;2000. pp. 875-928.

  72. Hanson DS, Bridwell KH, Rhee JM, Lenke LG. Dowel fibular strut grafts for high-grade dysplastic isthmic spondylolisthesis. Spine 2002;27(18):1982-1988.

  73. Smith JA, Deviren V, Berven S, Kleinstueck F, Bradford DS. Clinical outcome of trans-sacral interbody fusion after partial reduction for high-grade l5-s1 spondylolisthesis. Spine 2001;26(20):2227-2234.

  74. Majd ME, Holt RT. Anterior fibular strut grafting for the treatment of pseudoarthrosis in spondylolisthesis. Am J Orthop 2000;29(2):99-105.

  75. Staff DA. Posterior lumbar interbody fusion and plates. Clin Orthop 1988;227:99-102.

  76. Gehrchen PM, Dahl B, Katonis P, Blyme P, Tondevold E, Kiaer T. No difference in clinical outcome after posterolateral lumbar fusion between patients with isthmic spondylolisthesis and those with degenerative disc disease using pedicle screw instrumentation: a comparative study of 112 patients with 4 years of follow-up. Eur Spine J 2002;11(5):423-427.






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