TY - CHAP
T1 - Management of High-Grade Spondylolisthesis Including Reduction Techniques
AU - Assaker, Richard
AU - Wagner, Scott C.
AU - Shufflebarger, Harry L.
AU - Lehman, Ronald A.
N1 - Publisher Copyright:
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2015, 2023.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - There exists significant controversy in the literature regarding the surgical treatment of high-grade spondylolisthesis: in situ fusion versus reduction, the timing of surgery, and the techniques for achieving fixation are highly varied. High-grade spondylolisthesis is a complicated, three-dimensional deformity with complex pathomechanics and secondary anatomic changes that develop over time. While the classification schemes and management modalities of high-grade spondylolisthesis continue to evolve with our understanding of these deformities, there is general agreement that surgical treatment of high-grade, unbalanced spondylolisthesis is the management of choice. While reduction and fixation of these high-grade slips are historically fraught with complications, including nerve injury and loss of fixation, in situ fusion is also not without reportedly severe complications. However, in the authors’ varied, multi-year experience, anatomic reduction with interbody fusion and posterior instrumentation has yielded excellent results with a relatively low complication rate.
AB - There exists significant controversy in the literature regarding the surgical treatment of high-grade spondylolisthesis: in situ fusion versus reduction, the timing of surgery, and the techniques for achieving fixation are highly varied. High-grade spondylolisthesis is a complicated, three-dimensional deformity with complex pathomechanics and secondary anatomic changes that develop over time. While the classification schemes and management modalities of high-grade spondylolisthesis continue to evolve with our understanding of these deformities, there is general agreement that surgical treatment of high-grade, unbalanced spondylolisthesis is the management of choice. While reduction and fixation of these high-grade slips are historically fraught with complications, including nerve injury and loss of fixation, in situ fusion is also not without reportedly severe complications. However, in the authors’ varied, multi-year experience, anatomic reduction with interbody fusion and posterior instrumentation has yielded excellent results with a relatively low complication rate.
KW - Anatomic reduction
KW - High-grade spondylolisthesis
KW - Lumbosacral deformity
KW - Posterior instrumentation
KW - Spondyloptosis
KW - Surgical technique
UR - http://www.scopus.com/inward/record.url?scp=85173346502&partnerID=8YFLogxK
U2 - 10.1007/978-3-031-27253-0_22
DO - 10.1007/978-3-031-27253-0_22
M3 - Chapter
AN - SCOPUS:85173346502
SN - 9783031272530
T3 - Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques: Second Edition
SP - 287
EP - 298
BT - Spondylolisthesis: Diagnosis, Non-Surgical Management, and Surgical Techniques: Second Edition
PB - Springer International Publishing
ER -