Skip to main content
SpringerLink
Log in

Treatment of Multilevel Anterior and Retrolisthesis of the Lumbosacral Spine

  • Chapter
Lumbar Fusion and Stabilization

  • 152 Accesses

Abstract

Instability of the adult lumbosacral spine, commonly due to degenerative spondylolisthesis and post-laminectomy instability, affects single levels more frequently than multiple levels [1–6]. Treatment options applied to single-level instability have been applied to multiple-level instability, with the cornerstone of treatment being decompression. Notwithstanding the consensus on the need for decompression, the extent necessary is controversial, as are the indications for concurrent fusion, deformity correction, and the use of instrumentation [1,4,5,7–24].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alexander E Jr, Kelly DL Jr, Davis CH Jr, McWhorter JM, Brown W (1985) Intact arch spondylolisthesis. A review of 50 cases and description of surgical treatment. J Neurosurg 63: 840–844

    Article  PubMed  Google Scholar 

  2. Cauchoix J, Benoist M, Chassaing V (1976) Degenerative spondylolisthesis. Clin Orthop 115: 122–129

    PubMed  Google Scholar 

  3. Epstein NE, Epstein JA, Carras R, Lavine LS (1983) Degenerative spondylolisthesis with an intact neural arch: A review of 60 cases with an analysis of clinical findings and the development of surgical management. Neurosurgery 13: 555–561

    Article  PubMed  CAS  Google Scholar 

  4. Fitzgerald JAW, Newman PH (1976) Degenerative spondylolisthesis. J Bone Joint Surg [Br] 58: 184–192

    CAS  Google Scholar 

  5. Newman PH (1976) Surgical treatment for spondylolisthesis in the adult. Clin Orthop 117: 106–111

    PubMed  Google Scholar 

  6. Rosenberg NJ (1975) Degenerative spondylolisthesis. Predisposing factors. J Bone Joint Surg [Am] 57: 467–474

    CAS  Google Scholar 

  7. Bradford DS (1986) Instrumentation of the lumbar spine. An overview. Clin Orthop 203: 209–218

    PubMed  Google Scholar 

  8. Brown MD, Lockwood JM (1983) Degenerative spondylolisthesis. Instr Course Lect 32: 162–169

    PubMed  CAS  Google Scholar 

  9. Dalí BE, Rowe DE (1985) Degenerative spondylolisthesis. Its surgical management. Spine 10: 668–672

    Google Scholar 

  10. Epstein JA, Epstein BS, Lavine LS, Carras R, Rosenthal AD (1976) Degenerative lumbar spondylolisthesis with an intact neural arch (pseudospondylolisthesis). J Neurosurg 44: 139–147

    Article  PubMed  CAS  Google Scholar 

  11. Farfan HF, Kirkaldy-Willis WH (1981) The present status of spinal fusion in the treatment of lumbar intervertebral joint disorders. Clin Orthop 158: 198–214

    PubMed  Google Scholar 

  12. Feffer HL, Wiesel SW, Cuckler JM, Rothman RH (1985) Degenerative spondylolisthesis. To fuse or not to fuse. Spine 10: 287–289

    Google Scholar 

  13. Frymoyer JW, Selby DK (1985) Segmental instability. Rationale for treatment. Spine 10: 280–286

    Google Scholar 

  14. Hanley EN (1986) Decompression and distraction-derotation arthrodesis for de-generative spondylolisthesis. Spine 11: 269–276

    Article  PubMed  Google Scholar 

  15. Herrón LD, Trippi AC (1989) L4-5 degenerative spondylolisthesis. The results of treatment by decompressive laminectomy without fusion. Spine 14: 534–538

    Google Scholar 

  16. Kaneda K, Kazama H, Satoh S, Fujiya M (1986) Follow-up study of medial facetectomies and posterolateral fusion with instrumentation in unstable degenerative spondylolisthesis. Clin Orthop 203: 159–167

    PubMed  Google Scholar 

  17. Lettin AWF (1967) Diagnosis and treatment of lumbar instability. J Bone Joint Surg [Br] 49: 520–529

    CAS  Google Scholar 

  18. Lombardi JS, Wiltse LL, Reynolds J, Widell EH, Spencer C III (1985) Treatment of degenerative spondylolisthesis. Spine 10: 821–827

    Article  PubMed  CAS  Google Scholar 

  19. Reynolds JB, Wiltse LL (1979) Surgical treatment of degenerative spondylolisthesis. An abstract. Spine 4: 148–149

    Google Scholar 

  20. Rosenberg NJ (1976) Degenerative spondylolisthesis. Surgical treatment. Clin Orthop 117: 112–120

    PubMed  Google Scholar 

  21. Selby DK (1983) When to operate and what to operate upon. Orthop Clin North Am 14: 577–588

    PubMed  CAS  Google Scholar 

  22. Simmons EH, Capicotto WN (1988) Posterior transpedicular Zielke instrumentation of the lumbar spine. Clin Orthop 236: 180–191

    PubMed  Google Scholar 

  23. Soren A, Waugh TR (1985) Spondylolisthesis and related disorders. A correlative study of 105 patients. Clin Orthop 193: 171–177

    PubMed  Google Scholar 

  24. Zielke K, Strempel AV (1986) Posterior lateral distraction spondylodesis using the twofold sacral bar. Clin Orthop 203: 151–158

    PubMed  Google Scholar 

  25. Steffee AD, Biscup RS, Sitkowski DJ (1986) Segmental spine plates with pedicle screw fixation. A new internal fixation device for disorders of the lumbar and thoracolumbar spine. Clin Orthop 203: 45–53

    Google Scholar 

  26. Johnsson KE, Willner S, Johnsson K (1986) Postoperative instability after decom-pression for lumbar spinal stenosis. Spine 11: 107–110

    Article  PubMed  CAS  Google Scholar 

  27. Johnsson KE, Redlund-Johnell I, Uden A, Willner S (1989) Preoperative and postoperative instability in lumbar spinal stenosis. Spine 14: 591–593

    Article  PubMed  CAS  Google Scholar 

  28. Lee C (1983) Lumbar spinal instability (olisthesis) after extensive posterior spinal decompression. Spine 8: 429–433

    Article  PubMed  CAS  Google Scholar 

  29. Shenkin HA, Hash CJ (1979) Spondylolisthesis after multiple bilateral laminec-tomies and facetectomies for lumbar spondylosis. Follow-up review. J Neurosurg 50: 45–47

    Google Scholar 

  30. Sienkiewicz PJ, Flatley TJ (1987) Postopertive spondylolisthesis. Clin Orthop 221: 172–180

    PubMed  Google Scholar 

  31. Wiltse LL, Kirkaldy-Willis WH, Mclvor GWD (1976) The treatment of spinal stenosis. Clin Orthop 115: 83–91

    PubMed  Google Scholar 

  32. Kirkaldy-Willis WH, Wedge JH, Young-Hing K, Reilly J (1978) Pathology and pathogenesis of lumbar spondylosis and stenosis. Spine 3: 319–328

    Article  PubMed  CAS  Google Scholar 

  33. Mclvor GWD, Kirkaldy-Willis WH (1976) Pathological and myelographic changes in the major types of lumbar spinal stenosis. Clin Orthop 115: 72–76

    Google Scholar 

  34. Burton CV, Kirkaldy-Willis WH, Yong-Hing K, Heithoff KB (1981) Causes of failure of surgery on the lumbar spine. Clin Orthop 157: 191–199

    PubMed  Google Scholar 

  35. Stagnara P, De Mauroy JC, Dran G, Gonon GP, Costanzo G, Dimnet J, Pasquet A (1982) Reciprocal angulation of vertebral bodies in a sagittal plane: Approach to references for the evaluation of kyphosis and lordosis. Spine 7: 335–342

    Google Scholar 

  36. Jones A AM, Stambough JL, Balderston RA, Rothman RH, Booth RE (1989) Long, term results of lumbar spine surgery complicated by unintended incidental durotomy. Spine 14: 443–446

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Orthopaedics, Cleveland Spine and Arthritis Center, 2709 Franklin Boulevard, Cleveland, OH, 44113, USA

    Scot D. Miller

Authors
  1. Paul Enker
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arthur D. Steffee
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Louis Keppler
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert S. Biscup
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Scot D. Miller
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Labor Welfare Corporation, Kansai Rosai Hospital, 660, Amagasaki, Hyogo, Japan

    Kazuo Yonenobu M.D.

  2. Department of Orthopaedic Surgery, Osaka University Medical School, 533, Osaka, Japan

    Keiro Ono M.D. (Dean of Medical School, Professor and Chairman) (Dean of Medical School, Professor and Chairman)

  3. Department of Orthopedic Surgery, Asahikawa Medical College, 078, Asahikawa, Hokkaido, Japan

    Yoshiharu Takemitsu M.D. (Professor and Chairman) (Professor and Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Tokyo

About this chapter

Cite this chapter

Enker, P., Steffee, A.D., Keppler, L., Biscup, R.S., Miller, S.D. (1993). Treatment of Multilevel Anterior and Retrolisthesis of the Lumbosacral Spine. In: Yonenobu, K., Ono, K., Takemitsu, Y. (eds) Lumbar Fusion and Stabilization. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68234-9_15

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-68234-9_15

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68236-3

  • Online ISBN: 978-4-431-68234-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation