Treatment of Spondylolisthesis in Children and Adolescents

Choon-Sung Lee

doi:10.4184/jkss.2001.8.3.345

Journal List > J Korean Soc Spine Surg > v.8(3) > 1035964

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Lee: Treatment of Spondylolisthesis in Children and Adolescents

Original Article

Journal of Korean Spine Surg 2001;8(3):345-349.

Published online: 21 February 2001

DOI: https://doi.org/10.4184/jkss.2001.8.3.345

Treatment of Spondylolisthesis in Children and Adolescents

Choon-Sung Lee, M.D.

Department of Orthopaedic Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea

Address reprint requests to Choon-Sung Lee, M.D. Department of Orthopaedic Surgery, College of Medicine, Ulsan University Songpa P.O.Box 145, Seoul 138-736, Korea Tel : 82-2-2224-3526, Fax : 82-2-488-7877, E-mail : cslee@www.amc.seoul.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In spondylolisthesis of children and adolescents, the main cause of deformity is not the percentage of slippage, but the lumbosacral kyposis. Slip angle is of significant help in determining the lumbosacral kyphosis and the likelihood of further progression of slippage. Reduction has been considered unnecessary by many authors because of the reliability of in situ fusion. However, in severe cases, posterior arthrodesis is stressed in distraction and seems hardly able to stabilize the instability. A n optimal reduction would place L4 parallel or lordotic in relation to the sacrum. Several unresolved questions remain : How should the reduction be achieved? Should the reduction be stabilized by internal fixation systems? What kind of fixation device provides the best stabilization?

Go to :

Keywords: Slip angle, In situ fusion, Reduction, A dolescents

REFERENCES

1). Dubousset J. Treatment of spondylolysis and spondylolisthesis in children and adolescents. Clin Ortho. 337:77–85. 1997.

2). Fabris DA, Costantini S, Nena U. Surgical treatment of severe L5-S1 spondylolisthesis in children and adolescents. Spine. 21:728–733. 1996.

3). Frennered AK, Danielson BI, Nachemson AL. Natural history of symptomatic isthmic low-grade spondylolisthesis in children and adolescents: a seven year followup study. J Pediatr Orthop. 11:209–213. 1991.

4). Grzegorzewski A, Kumar SJ. In situ posterolateral spine arthrodesis for grades III, IV and V spondylolisthesis in children and adolescents. J Pediatr Orthop. 20:506–511. 2000.

5). Lindholm TS, Ragni P, Ylikoski M, Poussa M. Lumbar isthmic spondylolisthesis in children and adolescents. Spine. 15:1350–1355. 1990.

6). Lonstein JE. Spondylolisthesis in children: cause, natural history, and management. Spine. 24:2640–2648. 1999.

7). Muschik M, Zippel H, Perka C. Surgical management of severe spondylolisthesis in children and adolescents: anterior fusion in situ versus anterior spondylodesis with posterior transpedicular instrumentation and reduction. Spine. 22:2036–2043. 1997.

8). Seitsalo S, Osterman K, Hyvarinen H, Schlenzka D, Poussa M. Severe spondylolisthesis in children and adolescents. J Bone and Joing Surg. 72-B:259–265. 1990.

9). Seitsalo S, Osterman K, Hyvarinen H, Tallroth K, Schlenzka D, Poussa M. Progression of spondylolisthesis in children and adolescents. Spine. 16:417–421. 1991.

Go to :

TOOLS

Similar articles