Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019
Criteria for surgical reduction in high-grade lumbosacral spondylolisthesis based on quality of life measures.
Observational study in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 21 citations in OpenAlex.
- Clinical and Radiological Outcomes of Monosegmental Minimally Invasive Transforaminal Lumbar Interbody Fusion for High-Grade Spondylolisthesis: A 3-Year Observational Study.Orthopaedic surgery · 2026Observational
- Posterior L5-S1 fusion with complete reduction for pediatric high-grade dysplastic spondylolisthesis: a multicenter retrospective case series with exploratory analysis of residual sagittal imbalance.BMC musculoskeletal disorders · 2026Article
- Modified Bohlman Method for High-grade Spondylolisthesis.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Clinical and radiological outcomes of gradual reduction and circumferential fusion of high-grade spondylolisthesis in adolescents: a prospective cohort study of 29 young patients.Spine deformity · 2024Article
- [Progress in treatment of high-grade spondylolisthesis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- High-grade dysplastic spondylolisthesis: surgical technique and case series.Musculoskeletal surgery · 2023Article
- Scoliosis in dysplastic spondylolisthesis: a clinical survey of 50 young patients.BMC musculoskeletal disorders · 2022Article
- Restoration of sagittal alignment in high-grade isthmic spondylolisthesis using the reverse Bohlman technique with anterior lumbar interbody fusion using a hyperlordotic cage at L4-5: illustrative case.Journal of neurosurgery. Case lessons · 2021Article
- Health-related quality of life and sagittal balance at two to 25 years after posterior transfixation for high-grade dysplastic spondylolisthesis.Bone & joint open · 2021Article
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Authors and funding
8 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough surgical reduction in high-grade lumbosacral spondylolisthesis is often performed in young patients, criteria for defining adequate reduction leading to optimal outcomes have yet to be defined. The purpose of this study is to determine if surgical reduction in pelvic balance, slip grade, lumbosacral angle and L5 incidence are associated with quality of life after surgery, based on specific criteria proposed previously in the literature.
methodsA prospective cohort of 61 patients (14.4 ± 2.7 years) with high-grade lumbosacral spondylolisthesis was followed for a minimum of 2 years after surgery. SRS-22 scores, slip grade, lumbosacral angle, pelvic balance and L5 incidence were assessed before surgery and at the latest follow-up. Multivariable regression analyses were performed using postoperative SRS domain and total scores as the dependent variables. Independent variables consisted of the preoperative SRS scores, and specific criteria of pelvic balance, slip grade, lumbosacral angle and L5 incidence. The influence of slip grade, lumbosacral angle and L5 incidence on pelvic balance was also assessed.
resultsObtaining a balanced pelvis postoperatively was mainly predictive of improved satisfaction with surgery and self-image and also tended to be associated with higher scores for other domains. Improved mental health was associated with reduction to a low-grade slip. Reduction in lumbosacral angle was not predictive of quality of life. Postoperative pelvic balance was mainly associated with preoperative pelvic balance, but there was a tendency for achieving normal pelvic balance when the postoperative L5 incidence was 60° or smaller.
conclusionsWhen performing surgery in young patients with high-grade lumbosacral spondylolisthesis, achieving normal pelvic balance is the key because it is associated with improved quality of life. Reduction to a low-grade slip is predictive of improved mental health, but reduction in lumbosacral angle is not associated with postoperative quality of life. There was a tendency for obtaining normal postoperative balance in patients with postoperative L5 incidence 60° or smaller. These slides can be retrieved under Electronic Supplementary Material.
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