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Surgical Treatment of Degenerative and Isthmic Spondylolisthesis

Other Title
퇴행성 및 협부형 척추 전방전위증의 치료
Authors
정, 남수; 전, 창훈
Citation
Taehan Ch'ŏkch'u Oekwa Hakhoe chi, 16(3):228-234, 2009
Journal Title
Taehan Ch'ŏkch'u Oekwa Hakhoe chi; Journal of Korean Society of Spine Surgery; 대한척추외과학회지
ISSN
1229-5701
Abstract
The etiology of spondylolisthesis, which determines the pathoanatomy and natural course, includes the abnormal development of lumbosacrum and various acquired conditions. Many patients with symptomatic degenerative and isthmic spondylolisthesis respond to non-surgical treatments, such as modification of their daily activity, medication, physical therapy and nerve block.

Surgical treatment is indicated for intractable pain, neurological symptoms and the progression of slip. The natural course and patient’s demographics are also considered. Decompression of the neural stenosis and the fusion of segmental instability are the main surgical treatments of degenerative and isthmic spondylolisthesis.

Fusion and instrumentation should be chosen carefully for degenerative spondylolisthesis if it is stable. However, solid fusion is the most important procedure for isthmic spondylolisthesis.

Anterior lumbar interbody fusion is an effective treatment regarding an anatomical restoration of slip, decompression of neural structures and optimal fusion for degenerative and isthmic spondylolisthesis.
Keywords
SpondylolisthesisDegenerativeIsthmic
DOI
10.4184/jkss.2009.16.3.228
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Orthopedic Surgery
AJOU Authors
정, 남수전, 창훈
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