Volume 1, Issue 2 (12-2015)                   Iran J Neurosurg 2015, 1(2): 36-39 | Back to browse issues page

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Yousefzadeh-Chabok S, Kazemnejad-Leili E, Khatami S, Kouchakinejad-Eramsadati L, Alijani B. Investigation of Surgery Characteristics in Patients with Spondylolisthesis, Rasht, Iran from 2006 to 2011. Iran J Neurosurg 2015; 1 (2) :36-39
URL: http://irjns.org/article-1-14-en.html
1- MD, Professor of Neurosurgery, Guilan Road Trauma Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran
2- PhD, Associate Professor of Biostatistics, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Guilan, Iran
3- MD, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Guilan, Iran
4- BSc in Nursing, MA in Human Resource Management, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Guilan, Iran
5- MD, Assistant Professor of Neurosurgery, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Guilan, Iran
Abstract:   (4918 Views)

Background & Aim: Spondylolisthesis is a visible deformity in lumbosacral region with vertebral slip and fracture or other deformities of pars interarticularis. This study aims at investigating the characteristics of spondylolisthesis surgery in operated patients. Methods & Materials/Patients: This is a retrospective study which included all the patients who had undergone spondylolisthesis surgery by one same surgeon from 2006 to 2011. Demographic characteristics such as age, gender, and surgery information including type of spondylolisthesis, incision site, laminectomy site, foraminotomy site, fixation site of vertebra and site of vertebral disc evacuation were collected. The data were analyzed using SPSS (Version16). Results: 52 of 63 enrolled patients were women (82.5%) and 11 men (17.5%) with mean age of 49.6 years. Based on frequency, spondylolisthesis types were 60 degenerative (95.2%), 2 post-surgical (3.2%) and 1 post-traumatic (1.6%), respectively. 58 patients had spondylolisthesis only in one vertebra and 5 patients in two vertebrae. The total number of slipped vertebrae was 68, in which slip was seen in L3, L4 or L5 vertebrae. In 42 patients, laminectomy was performed only in one vertebra, in 19 patients in two vertebrae, in 1 patient in three vertebrae and in 1 patient in five vertebrae. The total number of vertebrae with foraminotomy was 106. The highest frequency of foraminotomy was seen in L5, L4, and S1 vertebrae, respectively. Except in one case, the rest 62 patients underwent fixation surgery in two or three vertebrae. Conclusion: Based on the results, the frequency of spondylolisthesis was approximately five times in women compared to men. The most common type was degenerative spondylolisthesis. Type of surgery was fixation with pedicle screw and fusion.

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Type of Study: Research | Subject: Gamma Knife Radiosurgery

1. Borenstein David, Wiesel Sam, low back and neck pain:comprehensive diagnosis and management. 3rd ed. Saunders. Usa. 2004
2. Editorial. High-grade lumbosacral spondylolisthesis in children and adolescents: Pathogenesis, morphological analysis, and therapeutic strategy. Joint Bone Spine.2007;74:414-417. [DOI:10.1016/j.jbspin.2007.02.003] [PMID]
3. Crockard Alan, Hayward Richard, Hoff Julian. Neurosurgery: The Scientific Basis of Clinical Practice, Vol 2. 3rd Ed. Wiley-Blackwell, usa, 1999.
4. M. Kliot, H. Brem, R. Saway. H. Richard Winn. Youmans Neurological Surgery. Vol. 5. 5th Edition, Saunders. USA .2004.
5. Dantas FL, Prandini MN, Ferreira MA. Comparison between posterior lumbar fusion with pedicle screws and posterior lumbar interbody fusion with pedicle screws in adult spondylolisthesis. ArqNeuropsiquiatr. 2007;65:764–770. [DOI:10.1590/S0004-282X2007000500006]
6. McTimoney CA, Micheli LJ. Current evaluation and management of spondylolysis and spondylolisthesis. Curr Sports Med Rep. 2003 Feb;2(1):41-6. [DOI:10.1249/00149619-200302000-00008] [PMID]
7. Watters W, Bono C, Gilbert T et al. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis. The Spine Journal.2009;9:609-614. [DOI:10.1016/j.spinee.2009.03.016] [PMID]
8. Denard P, Holton K, Miller J et al. Back pain, neurogenic symptoms, and physical function in relation to spondylolisthesis among elderly men. The Spine Journal. 2010;10:865-873. [DOI:10.1016/j.spinee.2010.07.004] [PMID] [PMCID]
9. Kent T. Yamaguchi Jr. David L. Skaggs •Daniel C. Acevedo Karen S. Myung Paul Choi Lindsay Andras.Spondylolysis is frequently missed by MRI in adolescents with back pain. J Child Orthop (2012) 6:237–240. [DOI:10.1007/s11832-012-0409-z] [PMID] [PMCID]
10. Hansdorfer M A, Mardjetko S M, Knott P T, Thompson S E. Lumbar Spondylolysis and Spondylolisthesis in Down Syndrome:A Cross-sectional Study at One Institution. Spine Deformity 1 (2013) 382-388. [DOI:10.1016/j.jspd.2013.05.011] [PMID]
11. Ponsa M, Schlenzha D, Seitsalo S et al. Surgical treatment of severe isthmic spondylolisthesis in adolescents:reduction or fusion in situ. Spine. 1993;18:894-901. [DOI:10.1097/00007632-199306000-00014]
12. Ebrahimzadeh S.A, Etemadifar M. Comparing the results of spondylolisthesis with and without instrument.Journal of Isfahan Medical School. 2002;20(65):51-52.
13. Kalpakcioglu B, Altinbilek T, SenelK.Determination of spondylolisthesis in low back pain by clinical evaluation. J Back MusculoskeletRehabil. 2009;22(1):27-32. doi: 10.3233/BMR-2009-0212. [DOI:10.3233/BMR-2009-0212]
14. Kang Ahn and Hyung-JoonJhun ,New physical examination tests for lumbarspondylolisthesis and instability: low midline sillsign and interspinous gap change during lumbarflexion-extension motion, BMC Musculoskeletal Disorders (2015) 16:97. DOI 10.1186/s12891-015-0551-0. [DOI:10.1186/s12891-015-0551-0]
15. FarzaneganGh. Lumbar fusion results using pedicle screws in patients with spondylolisthesis. Kowsar Medical Journal. 2006; 11(1):75-80.
16. Denard PJ, Holton Kathleen F, Miller Jessica, et al. Lumbar spondylolisthesis among elderly men: prevalence, correlates, and progression. Spine (Phila Pa 1976). 2010May 1; 35(10): 1072–1078. [DOI:10.1097/BRS.0b013e3181bd9e19] [PMID] [PMCID]
17. Martin CR, Gruszczynski AT, Braunsfurth HA, Fallatah SM, O'Neil J, Wai EK. The surgical management of degenerative lumbar spondylolisthesis. A systematic review. Spine. 2007;32:1791–1798. doi: 10.1097/BRS.0b013e3180bc219e. [DOI:10.1097/BRS.0b013e3180bc219e]

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