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