References in periodicals archive ?
Degenerative lumbar listhesis and bone mineral density in elderly women.
After the administration of general anaesthesia, the patient is placed on Rolton-Hall frame in prone on the operating table with hips in as much neutral as possible (An attempt to reduce the listhesis) and knees in flexion (To prevent undue stretching of nerve roots).
Jacobs et al reviewed the outcome of 684 trails and selectively included 29 studies in their meta-analysis to determine which fusion technique achieved the best clinical and radiological results in adult patients with low-grade listhesis; 8 randomized controlled studies, 4 prospective and 17 retrospective case studies, fusion was found to be superior to non-operative treatment for low-grade listhesis.
In conclusion, pedicular screw rod system with posterolumbar fusion with bone substitute is safe, promising and appealing technique, especially in low-grade listhesis. Early post-operative pain relief, availability, sterility and reduced morbidity favours bone substitutes over autogenous bone graft.
We had 55% of patients with Grade I listhesis and 45% had Grade II listhesis.
No patients were found to have Grade III or Grade IV listhesis. Similar findings were reported by Mostafa Fathy et al.
* Reduction of listhesis of grade I and II is not necessary for better relief.
Study done by Fain Gold et al found spondylolysis and listhesis as most common cause of back pain in young population.