کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8964727 1646674 2018 38 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A systematic review of clinical outcomes in surgical treatment of adult isthmic spondylolisthesis
ترجمه فارسی عنوان
بررسی سیستماتیک نتایج کلینیکی در درمان جراحی اسپوندیلولیستیس ایسکمی بزرگسالان
کلمات کلیدی
نتایج بالینی، ناتوانی عملکردی، اسپوندیلولیستهای سستم، درد، همجوشی ستون فقرات، بررسی سیستماتیک،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی
Available studies provide strong evidence that the addition of reduction to fusion does not result in better clinical outcomes of pain and function in low-grade isthmic spondylolisthesis. Evidence also suggests that there is no significant difference between interbody fusion (IF+PS) and posterior fusion (PLF±PS) in outcomes of pain, function, and complication rates at follow-up points up to approximately 3 years in cases of low-grade slips. However, studies with longer follow-up points suggest that interbody fusion (IF+PS) may perform better in these same measures at later follow-up points. Available evidence also suggests no difference between circumferential fusion (IF+PS+PLF) and interbody fusion (IF+PS) in outcomes of pain and function in low-grade slips, but circumferential fusion has been associated with greater intraoperative blood loss, longer surgery duration, and longer hospital stays. In terms of clinical outcomes, insufficient evidence is available to assess the utility of adding PS to PLF, the relative efficacy of different interbody fusion (IF+PS) techniques (ALIF+PS vs. TLIF+PS vs. PLIF+PS), and the relative efficacy of circumferential fusion and posterior fusion (PLF+PS).
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 18, Issue 8, August 2018, Pages 1441-1454
نویسندگان
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