A clinical study of degenerative spondylolisthesis

Radiographic analysis and choice of treatment

K. Satomi, K. Hirabayashi, Y. Toyama, Y. Fujimura

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Surgical treatment of degenerative spondylolisthesis in 27 patients by means of anterior lumbar interbody fusion and in 14 patients by means of posterior decompression yielded average degrees of recovery of 77% and 56%, respectively. Preoperative analysis of myelograms, and computed tomographies after myelography indicated that anterior shifting of the inferior articular process of the slipping vertebra was the main factor responsible for compression of the nervous tissue in the early stages of degenerative spondylolisthesis. Patients in these stages should be treated by anterior lumbar interbody fusion. In the later stages of degenerative spondylolisthesis, osteophytes on the superior articular processes of the lower vertebra were an additional factor in compression, and patients should be treated by posterior decompression. Computed tomographies after myelography provided the key images for identifying pathologic processes in degenerative spondylolisthesis and selecting appropriate surgical procedures.

Original languageEnglish
Pages (from-to)1329-1336
Number of pages8
JournalSpine
Volume17
Issue number11
Publication statusPublished - 1992

Fingerprint

Spondylolisthesis
Myelography
Decompression
Spine
Joints
Tomography
Osteophyte
Nerve Tissue
Pathologic Processes
Therapeutics
Clinical Studies

Keywords

  • anterior lumbar interbody fusion
  • CT scanning
  • degenerative spondylolisthesis
  • myelography
  • superior and inferior articular process

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Satomi, K., Hirabayashi, K., Toyama, Y., & Fujimura, Y. (1992). A clinical study of degenerative spondylolisthesis: Radiographic analysis and choice of treatment. Spine, 17(11), 1329-1336.

A clinical study of degenerative spondylolisthesis : Radiographic analysis and choice of treatment. / Satomi, K.; Hirabayashi, K.; Toyama, Y.; Fujimura, Y.

In: Spine, Vol. 17, No. 11, 1992, p. 1329-1336.

Research output: Contribution to journalArticle

Satomi, K, Hirabayashi, K, Toyama, Y & Fujimura, Y 1992, 'A clinical study of degenerative spondylolisthesis: Radiographic analysis and choice of treatment', Spine, vol. 17, no. 11, pp. 1329-1336.
Satomi K, Hirabayashi K, Toyama Y, Fujimura Y. A clinical study of degenerative spondylolisthesis: Radiographic analysis and choice of treatment. Spine. 1992;17(11):1329-1336.
Satomi, K. ; Hirabayashi, K. ; Toyama, Y. ; Fujimura, Y. / A clinical study of degenerative spondylolisthesis : Radiographic analysis and choice of treatment. In: Spine. 1992 ; Vol. 17, No. 11. pp. 1329-1336.
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