Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03
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pISSN : 2093-4378 / eISSN : 2093-4386
- https://journal.kci.go.kr/krspine
KJCKorea
Journal Central
Surgical Treatment of Degenerative and Isthmic Spondylolisthesis
- Journal of Korean Society of Spine Surgery
- Abbr : J Kor Spine Sur
- 2009, 16(3), pp.228-234
- Publisher : Korean Society Of Spine Surgery
- Research Area : Medicine and Pharmacy > Orthopedic Surgery
1아주대학교
Candidate
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
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