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Transdiscal L5-S1 screws for the treatment of adult spondylolisthesis

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Abstract

Purpose

The aim of the study was to evaluate clinical and radiographic outcome of patients treated with a modified Grob technique analysing the advantages related to increased mechanical stability.

Methods

30 patients that underwent “in situ” fusion for L5-S1 spondylolisthesis were evaluated. All patients presented a low-dysplastic developmental L5-S1 spondylolisthesis. Patients were divided into two groups: A, in which L5-S1 pedicle instrumentation associated with transsacral screw fixation was performed, and B, in which L5-S1 pedicle instrumentation associated with a posterolateral interbody fusion (PLIF) was performed.

Results

Patients treated with transdiscal L5-S1 fixation observed a faster resolution of the symptoms and a more rapid return to daily activities, especially at 3–6 months’ follow-up. The technique is reliable in giving an optimal mechanical stability to obtain a solid fusion.

Conclusions

The advantages of this technique are lower incidence of neurologic complications, speed of execution and faster return to normal life.

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Authors and Affiliations

  1. Department of Orthopedic Science and Traumatology Spine Surgery Division, Catholic University Rome, Largo A. Gemelli 1, 00168, Rome, Italy

    C. A. Logroscino, F. C. Tamburrelli, L. Scaramuzzo, G. R. Schirò, S. Sessa & L. Proietti

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  1. C. A. Logroscino
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  2. F. C. Tamburrelli
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  3. L. Scaramuzzo
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  4. G. R. Schirò
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  5. S. Sessa
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  6. L. Proietti
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Corresponding author

Correspondence to L. Proietti.

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Logroscino, C.A., Tamburrelli, F.C., Scaramuzzo, L. et al. Transdiscal L5-S1 screws for the treatment of adult spondylolisthesis. Eur Spine J 21 (Suppl 1), 128–133 (2012). https://doi.org/10.1007/s00586-012-2229-8

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  • DOI: https://doi.org/10.1007/s00586-012-2229-8

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