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Spine Surgery pp 495-504 | Cite as

Surgical Management of Developmental High-Grade Spondylolisthesis

  • Sleiman Haddad
  • Kimia Rahnama Zand
  • Ferran PelliséEmail author
Chapter

Abstract

Traditionally, developmental spondylolisthesis has been divided into two groups depending on the degree of slippage: low (<50% slip) and high (>50% slip) grade. These are two different clinical entities with different natural history. While low-grade spondylolisthesis is basically a painful syndrome/entity, high-grade spondylolisthesis (HGS) is a true lumbosacral deformity with significant risk of progression resulting in trunk deformity. More recent classifications take into consideration the spinopelvic alignment to further guide treatment. The objectives of surgery in HGS are to decompress the involved neural structures, correct the lumbosacral kyphosis and trunk unbalance, and stabilize the lumbosacral junction segment by fusing the least number of vertebrae. Fusion can be performed in situ or after reducing the slipped vertebra. The decision to correct high-grade slippage defects by reduction is still controversial.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sleiman Haddad
    • 1
    • 2
  • Kimia Rahnama Zand
    • 3
  • Ferran Pellisé
    • 1
    Email author
  1. 1.Department of Orthopaedic Surgery, Spine UnitUniversity Hospital Vall d’HebronBarcelonaSpain
  2. 2.Spine SurgeryHospital Universitari Vall d’Hebron, Spine Institute Hospital QuironBarcelonaSpain
  3. 3.Clinical Neurophysiology, Intraoperative NeuromonitoringHospital Universitari Vall d’Hebron, Spine Institute Hospital QuironBarcelonaSpain

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