مرکز منطقه ای اطلاع رساني علوم و فناوري - Clinical results after surgical treatment in young male patients with low grade isthmic spondylolisthesis

Abstract :

Purpose:The aim of this study is to evaluate the long term results of surgical treatment in young patients with low grade isthmic spondylolisthesis (IS). Materials and methods:Postoperative clinical results of 42 patients ageing between 20-29 were retrospectively analized in this study. Oswestry Disability Index (ODI) and Visual Analog Scales (VAS) scores were used to compare patients’ preoperative and postoperative pain levels. Results: All patients were male and the mean age of patients was 23.4 (between 20-29). Mean duration of symphtoms was 1.8 years (between 1-4 years). All patients had physical therapy before surgery and 24 patients (%57.1) used lumbosacral brace. Isthmic spndylolisthesis was present in L5-S1 level in 78.5% (n=33) and in L4-5 level in 21.4% (n=9) of the patients. Mean preoperative ODI and VAS scores were 76.68 (between 43-100) and 5.98 (between 3-10), respectively (p 0.05). Mean postoperative ODI and VAS scores were 26.65 (between 0-66) and 2.49 (between 0-5), respectively (p 0.05). Conclusion:Posterolateral in stu fusion and transpedicular instrumentation in young well-selected patients with low grade IS reduce pain, improve function and result good clinical outcome. Prospective and multicenter studies with 10-20 years follow-up are needed for further data.