Artikel
Degeneration and spinal instability. An indication of fusion?
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Veröffentlicht: | 23. April 2004 |
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Gliederung
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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.