Reduction and Stabilization of High Grade Spondylolisthesis: A Study of 29 Patients Using a Posterior Approach

  • R. Roy-Camille
  • J. Y. Lazennec
  • C. H. Garreau
  • G. Saillant
  • J.-P. Benazet


Patients with spondylolisthésis of grade III or more, present with a unique association of local and régional dysplasia [1–8]. Some authors have criticized the need to obtain an anatomic reduction, arguing that neurological risk is increased. There are operative difficulties, and surgery is often overly aggressive [9–24]. Our experience is based on three therapeutic objectives that can be realized in a single surgical procedure:
  1. 1.

    Exploration of the spinal canal and root liberation

  2. 2.

    Reduction which permits a restoration of normal anatomy

  3. 3.

    Fixation which stabilizes the spine and allows for graft incorporation



Pedicle Screw Slippage Angle Posterior Lumbar Interbody Fusion Isthmic Spondylolisthesis High Grade Spondylolisthesis 
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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • R. Roy-Camille
  • J. Y. Lazennec
  • C. H. Garreau
  • G. Saillant
  • J.-P. Benazet
    • 1
  1. 1.Orthopedic Surgery DepartmentPitié-Salpetriere HospitalParis Cédex 13France

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