Treatment of Multilevel Anterior and Retrolisthesis of the Lumbosacral Spine

  • Paul Enker
  • Arthur D. Steffee
  • Louis Keppler
  • Robert S. Biscup
  • Scot D. Miller


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].


Pedicle Screw Interbody Fusion Lumbar Spinal Stenosis Deformity Correction Degenerative Spondylolisthesis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Paul Enker
  • Arthur D. Steffee
  • Louis Keppler
  • Robert S. Biscup
  • Scot D. Miller
    • 1
  1. 1.Division of OrthopaedicsCleveland Spine and Arthritis CenterClevelandUSA

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