Progress in treatment of high-grade spondylolisthesis_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHANG Tongchang ¹ , WANG Qing ^1,2 ,  KONG Qingquan ³ ,  YANG Jin ^1,2

1. School of Clinical Medical Sciences, Southwest Medical University, Luzhou Sichuan, 646000, P. R. China;
2. Department of Orthopedics, the Affiliated Hospital, Southwest Medical University, Luzhou Sichuan, 646000, P. R. China;
3. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China;

Corresponding author：

KONG Qingquan, Email: kqqspine@126.com; YANG Jin, Email: 1974374073@qq.com

Keywords：

High-grade spondylolisthesis; surgical treatment; spondylolisthesis reduction; nerve injury

DOI：

10.7507/1002-1892.202309051

Video：

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Objective To review the research progress in the treatment of high-grade spondylolisthesis (HS), in order to provide a reference for clinical treatment decision-making. Methods The literature related to the treatment of HS at home and abroad in recent years was widely reviewed. The methods of conservative treatment, in situ fusion, and spondylolisthesis reduction were analyzed and summarized. Results Surgical treatment is the main treatment of HS, but which method is the best is still controversial. The advantages, disadvantages, and applicability of various operations are also different, so individualized analysis is needed in clinic. Conclusion The treatment plan of HS needs to be considered comprehensively according to the individual condition of the patient. It will be an important research direction to further compare the existing treatment methods and develop more safe and effective new technology.

Citation： ZHANG Tongchang, WANG Qing, KONG Qingquan, YANG Jin. Progress in treatment of high-grade spondylolisthesis. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(2): 226-233. doi: 10.7507/1002-1892.202309051 Copy

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1. Wiltse LL. Etiology of spondylolisthesis. Clin Orthop, 1957, 10: 48-60.
2. Beck AW, Simpson AK. High-grade lumbar spondylolisthesis. Neurosurg Clin N Am, 2019, 30(3): 291-298.
3. Sudarshan PK, Suthar HR, Varma VK, et al. Long-term experience with reduction technique in high-grade spondylolisthesis in the young. Int J Spine Surg, 2018, 12(3): 399-407.
4. Koucheki R, Rocos B, Gandhi R, et al. Surgical management of high-grade paediatric spondylolisthesis: meta-analysis and systematic review. Eur Spine J, 2023, 32(2): 436-446.
5. Xue X, Wei X, Li L. Surgical versus nonsurgical treatment for high-grade spondylolisthesis in children and adolescents: A systematic review and meta-analysis. Medicine (Baltimore), 2016, 95(11): e3070.
6. Harris IE, Weinstein SL. Long-term follow-up of patients with grade-Ⅲ and Ⅳ spondylolisthesis. Treatment with and without posterior fusion. J Bone Joint Surg (Am), 1987, 69(7): 960-969.
7. Seitsalo S, Osterman K, Hyvãrinen H, et al. Progression of spondylolisthesis in children and adolescents. A long-term follow-up of 272 patients. Spine (Phila Pa 1976), 1991, 16(4): 417-421.
8. Lundine KM, Lewis SJ, Al-Aubaidi Z, et al. Patient outcomes in the operative and nonoperative management of high-grade spondylolisthesis in children. J Pediatr Orthop, 2014, 34(5): 483-489.
9. Bourassa-Moreau E, Labelle H, Mac-Thiong JM. Radiological and clinical outcome of non surgical management for pediatric high grade spondylolisthesis. Stud Health Technol Inform, 2010, 158: 177-181.
10. Gussous Y, Theologis AA, Demb JB, et al. Correlation between lumbopelvic and sagittal parameters and health-related quality of life in adults with lumbosacral spondylolisthesis. Global Spine J, 2018, 8(1): 17-24.
11. Kasliwal MK, Smith JS, Kanter A, et al. Management of high-grade spondylolisthesis. Neurosurg Clin N Am, 2013, 24(2): 275-291.
12. 褚大由. 重度腰椎滑脱症的手术治疗进展. 中华骨科杂志, 2000, 20(5): 289.
13. 徐波, 赵杰, 赵长清. 重度腰椎滑脱研究进展. 国际骨科学杂志, 2013, 34(6): 409-411.
14. Pinter ZW, Kolz JM, Elder BD, et al. Is reduction and fusion required for high-grade spondylolisthesis? Clin Spine Surg, 2021, 34(7): 237-240.
15. Salmons HI, Pinter ZW, Streufert B, et al. Performing 2-stage circumferential fusion in an adolescent with high-grade spondylolisthesis: A surgical technique. Clin Spine Surg, 2023, 36(4): 163-168.
16. Gök H, Mraja HM, Daadour IMF, et al. Transdiscal screw fixation in L₅-S₁ adult spondylolisthesis: Technical note and midterm outcomes of a case series. World Neurosurg, 2023, 170: e840-e846.
17. Vialle R, Charosky S, Padovani JP, et al. Surgical treatment of high-grade lumbosacral spondylolisthesis in childhood, adolescent and young adult by the “double-plate” technique: a past experience. Eur Spine J, 2006, 15(8): 1210-1218.
18. Rivollier M, Marlier B, Kleiber JC, et al. Surgical treatment of high-grade spondylolisthesis: Technique and results. J Orthop, 2020, 22: 383-389.
19. Omidi-Kashani F, Hootkani A, Jarahi L, et al. Radiologic and clinical outcomes of surgery in high grade spondylolisthesis treated with temporary distraction rod. Clin Orthop Surg, 2015, 7(1): 85-90.
20. Helenius I, Lamberg T, Osterman K, et al. Posterolateral, anterior, or circumferential fusion in situ for high-grade spondylolisthesis in young patients: a long-term evaluation using the Scoliosis Research Society questionnaire. Spine (Phila Pa 1976), 2006, 31(2): 190-196.
21. Lamberg T, Remes V, Helenius I, et al. Uninstrumented in situ fusion for high-grade childhood and adolescent isthmic spondylolisthesis: long-term outcome. J Bone Joint Surg (Am), 2007, 89(3): 512-518.
22. Sasso RC, Shively KD, Reilly TM. Transvertebral transsacral strut grafting for high-grade isthmic spondylolisthesis L₅-S₁ with fibular allograft. J Spinal Disord Tech, 2008, 21(5): 328-333.
23. Passias PG, Poorman CE, Yang S, et al. Surgical treatment strategies for high-grade spondylolisthesis: A systematic review. Int J Spine Surg, 2015, 9: 50.
24. Lengert R, Charles YP, Walter A, et al. Posterior surgery in high-grade spondylolisthesis. Orthop Traumatol Surg Res, 2014, 100(5): 481-484.
25. Lakshmanan P, Ahuja S, Lewis M, et al. Transsacral screw fixation for high-grade spondylolisthesis. Spine J, 2009, 9(12): 1024-1029.
26. Schär RT, Sutter M, Mannion AF, et al. Outcome of L₅ radiculopathy after reduction and instrumented transforaminal lumbar interbody fusion of high-grade L₅-S₁ isthmic spondylolisthesis and the role of intraoperative neurophysiological monitoring. Eur Spine J, 2017, 26(3): 679-690.
27. Mac-Thiong JM, Labelle H. A proposal for a surgical classification of pediatric lumbosacral spondylolisthesis based on current literature. Eur Spine J, 2006, 15(10): 1425-1435.
28. Shufflebarger HL, Geck MJ. High-grade isthmic dysplastic spondylolisthesis: monosegmental surgical treatment. Spine (Phila Pa 1976), 2005, 30(6 Suppl): S42-S48.
29. Joelson A, Danielson BI, Hedlund R, et al. Sagittal balance and health-related quality of life three decades after in situ arthrodesis for high-grade isthmic spondylolisthesis. J Bone Joint Surg (Am), 2018, 100(16): 1357-1365.
30. 龚全, 孔清泉, 李涛, 等. 后路复位技术在重度腰椎滑脱症治疗中的应用. 中国修复重建外科杂志, 2013, 27(4): 393-398.
31. Kunze KN, Lilly DT, Khan JM, et al. High-grade spondylolisthesis in adults: Current concepts in evaluation and management. Int J Spine Surg, 2020, 14(3): 327-340.
32. 王春, 林永绥, 刘成招, 等. 重度腰椎滑脱症的手术治疗. 中国骨与关节损伤杂志, 2011, 26(1): 29-31.
33. Tu KC, Shih CM, Chen KH, et al. Direct reduction of high-grade lumbosacral spondylolisthesis with anterior cantilever technique-surgical technique note and preliminary results. BMC Musculoskelet Disord, 2021, 22(1): 559.
34. Rocos B, Strantzas S, Zeller R, et al. What is the optimal surgical method for achieving correction and avoiding neurological complications in pediatric high-grade spondylolisthesis? J Pediatr Orthop, 2021, 41(3): e217-e225.
35. Fu KM, Smith JS, Polly DW, et al. Morbidity and mortality in the surgical treatment of six hundred five pediatric patients with isthmic or dysplastic spondylolisthesis. Spine (Phila Pa 1976), 2011, 36(4): 308-312.
36. Poussa M, Remes V, Lamberg T, et al. Treatment of severe spondylolisthesis in adolescence with reduction or fusion in situ: long-term clinical, radiologic, and functional outcome. Spine (Phila Pa 1976), 2006, 31(5): 583-590.
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Chinese Journal of Reparative and Reconstructive Surgery

Progress in treatment of high-grade spondylolisthesis

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