Influence of posterior decompression and reduction on postoperative neural function in adults patients with isthmic spondylolisthesis
Author(s): Wang Xinkuan, Feng Guoying, Sun Haibo
Pages: 1006-1008
Year: 2015 Issue: 7
Journal: China Medicine
Keyword: Isthmic spondylolisthesis; Decompression; Reduction; Postoperative neural function;
Abstract: Objective To evaluate the effect of posterior decompression and reduction on postoperative neural function in adults patients with isthmic spondylolisthesis.Methods A total of 31 consecutive patients with isthmic spondylolisthesis undergoing surgery from July 2005 to June 2007 were enrolled.After posterior laminectomy and excision disc,reduction also accomplished by distracting and pulling of the reduction screws;transverse process or circumferential fusion were practiced.The clinical effect was assessed by Japanese Orthopaedic Association (JOA) score;the fusion status and complications were observed.Results The patients were followed up for 0.5-6 years.All the patients had complete interbody fusion,with a JOA score rate of 100％ and a fusion rate of 100％.Intraoperative dural tear occurred in 3 cases.After operation,cerebrospinal leak occurred and healed after drainage for 4 days in 1 case;urinary retention occurred and healed after urethral catheterization of 4-10 days in 2 cases;paresthesia of lateralis leg was aggravated and healed after 7-30 days in 3 cases.No complications occurred in all the patients.Conclusion Posterior decompression and reduction during operation has no impact on severe neural damage in patients with isthmic spondylolisthesis.
Pages: 1006-1008
Year: 2015 Issue: 7
Journal: China Medicine
Keyword: Isthmic spondylolisthesis; Decompression; Reduction; Postoperative neural function;
Abstract: Objective To evaluate the effect of posterior decompression and reduction on postoperative neural function in adults patients with isthmic spondylolisthesis.Methods A total of 31 consecutive patients with isthmic spondylolisthesis undergoing surgery from July 2005 to June 2007 were enrolled.After posterior laminectomy and excision disc,reduction also accomplished by distracting and pulling of the reduction screws;transverse process or circumferential fusion were practiced.The clinical effect was assessed by Japanese Orthopaedic Association (JOA) score;the fusion status and complications were observed.Results The patients were followed up for 0.5-6 years.All the patients had complete interbody fusion,with a JOA score rate of 100％ and a fusion rate of 100％.Intraoperative dural tear occurred in 3 cases.After operation,cerebrospinal leak occurred and healed after drainage for 4 days in 1 case;urinary retention occurred and healed after urethral catheterization of 4-10 days in 2 cases;paresthesia of lateralis leg was aggravated and healed after 7-30 days in 3 cases.No complications occurred in all the patients.Conclusion Posterior decompression and reduction during operation has no impact on severe neural damage in patients with isthmic spondylolisthesis.
Related Articles