gms | German Medical Science

55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

25. bis 28.04.2004, Köln

Degeneration and spinal instability. An indication of fusion?

Meeting Abstract

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  • corresponding author Hans-Werner Schumacher - Neurochirurgische Gemeinschaftspraxis, Osnabrück
  • A. Weidner - Neurochirurgische Gemeinschaftspraxis, Osnabrück

Deutsche Gesellschaft für Neurochirurgie. Ungarische Gesellschaft für Neurochirurgie. 55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie. Köln, 25.-28.04.2004. Düsseldorf, Köln: German Medical Science; 2004. DocJM II.08

The electronic version of this article is the complete one and can be found online at:

Published: April 23, 2004

© 2004 Schumacher et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



As degenerative changes progress in the aging population, more patients will present with degenerative spondylolisthesis. The clinical picture is usually that of a woman older than 50 years of age with a degenerative lumbar spondylolisthesis at L5 with symptoms of neurogenic claudication or radiculopathy. Imaging studies will reveal a central recess, a lateral recess or both, and/or neuroforaminal stenosis. When patients do not respond to nonoperative treatment, surgical intervention is indicated. Most studies have concluded that the addition of an arthrodesis improves the clinical outcome. The different surgical techniques and the relevant clinical results from the literature will be presented. Based on our own clinical experience and the references, we will develop surgical treatment recommendations for degenerative spondylolisthesis.