Ryg sektionen, Ortopedkliniken Ryggsektionen, Ortopedkliniken ...
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Spondylolistes<br />
Karin Frennered<br />
fusion ingen sexuell dysfunktion (1 patient<br />
svarade ej). Inga spontana klagomål från<br />
tagstället (Frennered et al 1991). 3-7 %<br />
övergående eller bestående LV-påverkan<br />
efter op av höggradig spondylolistes (Möller<br />
1999 RCT, Tiusanen et al 1995). Högre<br />
frekvens av kärl- (7 %), allmänkirurgiska (40<br />
%) och sexuella komplikationer vid främre<br />
approach, transperitonealt (20 %) och<br />
retroperitonealt (6 %) (Rajarman et al 1999,<br />
Tiusanen e al 1995. Rökning ger lägre<br />
fusionsgrad (56 %) jämfört med icke rökare<br />
(100 %) (McGuire et al 1993).<br />
Prediktiva faktorer för utfall: Prediktiva<br />
faktorer för dåligt utfall var arbetsskada<br />
(Vaccaro et al 1997, Schnee et al 1997),<br />
rökning (Schnee et al 1997), tidigare kirurgi,<br />
fusion L4-L5, de som svarade dåligt på den<br />
preoperativa korsetten och patienter<br />
opererade över 45 år (Schnee et al 1997,<br />
Christensen et al 1996).<br />
Ekonomi: Inga studier på spondylolistes.<br />
Referenser:<br />
Bradford DS, Boachie-Adjei O. Treatment of<br />
severe spondylolisthesis by anterior and posterior<br />
reduction and stabilization. A long term follow-up<br />
study, J Bone Joint Surg Am. 1990;72(7):1060-6.<br />
Carragee EJ. Single-level posterolateral arthrodesis,<br />
with or without posterior decompression, for the<br />
treatment of isthmic spondylolisthesis in adults. A<br />
prospective, randomized study. J Bone Joint Surg<br />
Am. 1997;79(8):1175-80.<br />
Christiansen FB et al: Radiological and functional<br />
outcome after anterior lumbar interbody spinal<br />
fusion. Eur Spine J 1996;5(5):293-8.<br />
Danielson BI, Frennered AK, IrstamLK:<br />
Radiologic progression of isthmic lumbar<br />
spondylolisthesis in young patients. Spine<br />
1991;16(4):422-5.<br />
Frennered AK, Danielson BI, Nachemson AL.<br />
Mid term follow-up of young patients fused in situ<br />
for spondylolisthesis. Spine 1991;16(4):409-16.<br />
Frennered K. Isthmic spondylolisthesis among<br />
patients receiving disability pension under the<br />
diagnosis of chronic low back pain syndromes. Spine<br />
1994;19(24):2766-9.<br />
Gaines RW, Nichols WK. Treatment of<br />
spondyloptosis by two stage L5 vertebrectomy and<br />
reduction of L4 onto S1, Spine 1985;10(7):680-6.<br />
8<br />
Harris IE, Weinstein SL. Long term follow-up of<br />
patients with grade III and IV spondylolysthesis.<br />
Treatment with and without posterior fusion, JBJ<br />
Surg Am, 1987;69(7):960-9.<br />
McGuire RA, Amundson GM. The use of primary<br />
internal fixation in spondylolisthesis. Spine<br />
1993;18(12):1662-72.<br />
Muschik M, Zippel H, Perka C. Surgical<br />
management of severe spondylolisthesis in Children<br />
and adolescents. Anterior fusion in situ versus<br />
anterior spondylodesis with posterior transpedicular<br />
instrumentation and reduction. Spine<br />
1997;22(17):2036-43.<br />
Möller H.:Isthmic Spondylolisthesis in Adults. A<br />
Randomized Controlled Trial. Thesis 1999.<br />
Poussa M, Schlenzka D, Seitsalo S et al. Surgical<br />
treatment of severe isthmic spondylolisthesis in<br />
adolescents: Reduction or fusion in situ. Spine<br />
1993;18(7):894-901.<br />
Rajaraman V, Vingan R, Roth P et al. Visceral and<br />
vascular complications resulting from anterior lumbar<br />
interbody fusion. J Neurosurg 1999;91(suppl 1):60-4.<br />
Saraste H: Spondylolysis and spondylolisthesis,<br />
Thesis, 1984.<br />
Schlenzka D, Seitsalo S, Poussa M et al. Operative<br />
treatment of symptomatic spondylolysis and mild<br />
spondylolisthesis in young patients: direct repair of<br />
the defect or segmental spinal fusion. Eur Spine J<br />
1993;2(2):104-12.<br />
Schnee CL,Freese A, Ansell LV. Outcome analysis<br />
for adults with spondylolisthesis treated with<br />
posterolateral fusion and transpedicular screw<br />
fixation. J Neurosurg 1997; 86(1):56-63.<br />
Seitsalo S, Osterman K, Hyvarinen H et al. Severe<br />
spondylolisthesis in children and adolescents. A long<br />
term review of fusion in situ. JBJS Br 1990;72(2):259-<br />
65.<br />
Seitsalo S Operative and conservative treatment of<br />
moderate spondylolisthesis in young patients. JBJS Br<br />
1990;72(5):908-13.<br />
Seitsalo S, Osterman K, Hyvarinen H et al.<br />
Progression of spondylolisthesis in children and<br />
adolescents. A long term follow-up of 272 patients.<br />
Spine 1991;16(4):417-21.<br />
O´Sullivan PB, Phyty GD, TwomeyLT et al.<br />
Evaluation of specific stabilizing exercise in the<br />
treament of chronic low back pain with radiologic<br />
disgnosis of spondylolysis or spondylolisthesis. Spine<br />
1997;22(24):2959-67.<br />
Thomasen E. Intercorporal lumbar spondylodesis.<br />
312 patients followed for 2-20 years. Acta orthop<br />
scand 1985;56(4):287-93.<br />
Tiusanen H, Seitsalo S, Osterman K et al.<br />
Retrograd ejaculation after anterior interbody lumbar<br />
fusion. Eur Spine J 1995;4(6):339-42.<br />
Vaccaro AR, Ring D, Scuderi G et al. Predictors<br />
of outcome in patients with chronic back pain and<br />
low-grade spondylolisthesis. Spine<br />
1997;22(17):2030-5.