Maximizing Safety in the Management of Adult Isthmic Spondylolisthesis

Adam L. Wollowick, Norele Cutrera, Joseph P. Gjolaj, Nathan Lebwohl, Marinus de Kleuver

Research output: Contribution to journalArticle

Abstract

Safe and effective management of adult isthmic spondylolisthesis begins with a thorough patient evaluation to determine the precise etiology of the patient's complaints and includes appropriate spinal imaging. As most cases of isthmic spondylolisthesis are asymptomatic, it is critical to rule out other sources of pain. Treatment of adult isthmic spondylolisthesis requires a complete understanding of the deformity, which includes a global assessment of the patient's spine, consideration of pelvic parameters, and proper classification. Safe surgery for isthmic spondylolisthesis begins with comprehensive pre-operative planning as well as patient optimization for the operating room. Patients with adult isthmic spondylolisthesis, especially those with high-grade slips, present a variety of unique intra-operative challenges for the operating surgeon, many of which can be anticipated in advance. The most common perioperative complications include neurological injury and pseudarthrosis.

Original languageEnglish (US)
Pages (from-to)23-29
Number of pages7
JournalSpine Deformity
Volume1
Issue number1
DOIs
StatePublished - Sep 2012

Keywords

  • Adult
  • Isthmic spondylolisthesis
  • Safety

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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