Transdiscal L5-S1 Screws for the Treatment of Adult Spondylolisthesis

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2012 Mar 10

PMID 22402843

Citations 8

Authors

C A Logroscino

F C Tamburrelli

L Scaramuzzo

G R Schiro

S Sessa

L Proietti

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of the study was to evaluate clinical and radiographic outcome of patients treated with a modified Grob technique analysing the advantages related to increased mechanical stability.

Methods: 30 patients that underwent "in situ" fusion for L5-S1 spondylolisthesis were evaluated. All patients presented a low-dysplastic developmental L5-S1 spondylolisthesis. Patients were divided into two groups: A, in which L5-S1 pedicle instrumentation associated with transsacral screw fixation was performed, and B, in which L5-S1 pedicle instrumentation associated with a posterolateral interbody fusion (PLIF) was performed.

Results: Patients treated with transdiscal L5-S1 fixation observed a faster resolution of the symptoms and a more rapid return to daily activities, especially at 3-6 months' follow-up. The technique is reliable in giving an optimal mechanical stability to obtain a solid fusion.

Conclusions: The advantages of this technique are lower incidence of neurologic complications, speed of execution and faster return to normal life.

Citing Articles

Biomechanical analysis of a trans-discal, multi-level stabilization screw (MLSS) at the upper instrumented vertebra (UIV) of long posterior thoracolumbar instrumentations.

Collins A, Shah A, Shekouhi N, Goel V, Theologis A Spine Deform. 2024; 12(4):953-959.

PMID: 38578598 PMC: 11217123. DOI: 10.1007/s43390-024-00862-7.

Use of L5-S1 transdiscal screws in the treatment of isthmic spondylolisthesis: a technical note.

Chen S, Gibbs C, Zheng A, Dalton J, Gannon E, Shaw J J Spine Surg. 2022; 7(4):510-515.

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Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review.

Rovere G, Perna A, Meccariello L, De Mauro D, Smimmo A, Proietti L Int Orthop. 2021; 45(10):2687-2697.

PMID: 34378143 PMC: 8514382. DOI: 10.1007/s00264-021-05153-8.

Screws Fixation for Oblique Lateral Lumbar Interbody Fusion (OL-LIF): A Finite Element Study.

Ling Q, Zhang H, He E Biomed Res Int. 2021; 2021:5542595.

PMID: 34055981 PMC: 8147546. DOI: 10.1155/2021/5542595.

Symptomatic vertebral hemangioma during pregnancy period: A case series and systematic literature review.

Santagada D, Perna A, Meluzio M, Ciolli G, Proietti L, Tamburrelli F Orthop Rev (Pavia). 2020; 12(Suppl 1):8685.

PMID: 32913613 PMC: 7459382. DOI: 10.4081/or.2020.8685.

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