Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 9: Lumbar fusion for stenosis with spondylolisthesis

Update item information
Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Resnick, Daniel K.; Watters III, William C.; Sharan, Alok; Mummaneni, Praveen V.; Wang, Jeffrey C.; Choudhri, Tanvir F.; Eck, Jason; Ghogawala, Zoher; Groff, Michael W.; Dhall, SanJay S.; Kaiser, Michael G... et,al.
Title Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 9: Lumbar fusion for stenosis with spondylolisthesis
Date 2014-01-01
Description Patients presenting with stenosis associated with a spondylolisthesis will often describe signs and symptoms consistent with neurogenic claudication, radiculopathy, and/or low-back pain. The primary objective of surgery, when deemed appropriate, is to decompress the neural elements. As a result of the decompression, the inherent instability associated with the spondylolisthesis may progress and lead to further misalignment that results in pain or recurrence of neurological complaints. Under these circumstances, lumbar fusion is considered appropriate to stabilize the spine and prevent delayed deterioration. Since publication of the original guidelines there have been a significant number of studies published that continue to support the utility of lumbar fusion for patients presenting with stenosis and spondylolisthesis. Several recently published trials, including the Spine Patient Outcomes Research Trial, are among the largest prospective randomized investigations of this issue. Despite limitations of study design or execution, these trials have consistently demonstrated superior outcomes when patients undergo surgery, with the majority undergoing some type of lumbar fusion procedure. There is insufficient evidence, however, to recommend a standard approach to achieve a solid arthrodesis. When formulating the most appropriate surgical strategy, it is recommended that an individualized approach be adopted, one that takes into consideration the patient's unique anatomical constraints and desires, as well as surgeon's experience.
Type Text
Publisher American Association of Neurological Surgeons
Volume 21
Issue 1
First Page 54
Last Page 61
Language eng
Bibliographic Citation Resnick, D. K., Watters III, W. C., Sharan, A., Mummaneni, P. V., Dailey, A. T., Wang, J.C., Choudhri, T. F., Eck, J., Ghogawala, Z., Groff, M. W., Dhall, S. S., & Kaiser, M. G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 9: Lumbar fusion for stenosis with spondylolisthesis. Journal of Neurosurgery: Spine, 21(1), 54-61.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 1,222,980 bytes
Identifier uspace,18816
ARK ark:/87278/s6jt30hm
Setname ir_uspace
Date Created 2014-08-06
Date Modified 2014-08-06
ID 712614
Reference URL https://collections.lib.utah.edu/ark:/87278/s6jt30hm