, Volume 471, Issue 10, pp 3082-3087
Date: 20 Jul 2013

Surgery for Degenerative Spondylolisthesis: Open Versus Minimally Invasive Surgery

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Degenerative spondylolisthesis with stenosis is common. Surgery for it, when indicated, has traditionally been performed as a posterior decompression and fusion with instrumentation, and relief of symptoms generally results. More recently, some spine surgeons have advocated for less-invasive approaches to the treatment of this condition. This has theoretical advantages, and it is very marketable and popular with the lay population. While the outcomes appear to be good with either technique, as new technology is introduced, it is important to compare the advantages, safety, and expenses of the new approaches to the more established techniques.

To help address some of these issues, I have invited two well-known experts in the field to discuss and defend their preferences. Jeff Fischgrund MD is a faculty member at William Beaumont Hospital and an authority on this subject, having authored several of the sentinel papers on posterior decompression and fusion with and without instrumentation.

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