Clinical characteristic and surgical treatment of traumatic lumbar spondylolisthesis: A series of 28 patients |
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| Institution: | 1. Department of Spine surgery, The Ningbo No.6 Hospital, Ningbo, 315040, Zhejiang Province, China;2. Medical School of Ningbo University, Ningbo, 315040, Zhejiang Province, China;1. William Beaumont Army Medical Center, Department of Orthopaedic Surgery, El Paso, Texas, USA;2. Texas Tech University Health Science Center, Department of Orthopaedic Surgery, El Paso, Texas, USA;3. Uniformed Services University, Clinical and Experimental Orthopedics, Bethesda, Maryland, USA;4. Carthage Area Hospital, Department of Orthopaedic Surgery, Carthage, NY, USA;1. Servicio de Medicina Intensiva, Spain;2. Hospital Universitario 12 de Octubre, Madrid, Spain;3. Trinity College Dublin, School of Medicine. CLOD Dublin Midlands Hospital group, Dublin, EIRE;4. Intensive Care Medicine, Spain;5. Biochemistry Department, Spain;1. University Hospitals, Cleveland Medical Center, Cleveland, OH, United States;2. Case Western Reserve University, Department of Population and Quantitative Health Sciences, Cleveland, OH, United States;3. Case Western Reserve University, Cleveland, OH, United States;1. Trauma and Orthopaedic Department, North Bristol NHS Trust, Brunel Building, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, United Kingdom;2. Trauma and Orthopaedic Department, Somerset NHS Foundation Trust, Musgrove Park Hospital, Parkfield Drive, Taunton, TA1 5DA, United Kingdom;3. Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, United Kingdom;4. National Institute for Health Research, Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol;1. Shenzhen University General Hospital, Shenzhen 518060, China;2. Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University Health Science Center, Shenzhen 518060, China.;3. The Department of Orthopedics, The Second Affiliated Hospital of Air Force Medical University, Xi''an 710000, China. |
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| Abstract: | Objective: To explore the clinical characteristics and the short-term efficacy of posterior operation for traumatic lumbar spondylolisthesis.Methods: All 28 patients (between January 2013 and June 2018) were treated with lumbar pedicle screw fixation combined with posterior intervertebral fusion. The clinical data and imaging materials of these patients were retrospectively analyzed.Results: The mean follow-up period was 24.3 months (12-36 months). The average VAS score and JOA score were significantly improved after surgery, and the difference was statistically significant (P<0.05).The last follow-up X-ray showed that 16 cases were degree 0 and 12 cases were degree I according to Meyerding grading, which were statistically improved compared with preoperative. Postoperative CT indicated lumbar internal fixation well, and the lumbar fusion rate was 100%. The Frankel grading of neurological function was significantly improved compared with preoperative.Conclusion: Acute traumatic lumbar spondylolisthesis is caused by severe trauma and mostly occurred at L4/L5 and L5/S1 level. Early posterior reduction, decompression and intervertebral fusion can achieve satisfactory clinical and radiological outcome. |
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