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2016 ; 13
(1
): 1-9
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
"Reverse Bohlman" technique for the treatment of high grade spondylolisthesis in
an adult population
#MMPMID26955227
Macagno AE
; Hasan S
; Jalai CM
; Worley N
; de Moura AB
; Spivak J
; Bendo JA
; Passias PG
J Orthop
2016[Mar]; 13
(1
): 1-9
PMID26955227
show ga
BACKGROUND/AIMS: Surgical techniques for effective high-grade spondylolisthesis
(HGS) remain controversial. This study aims to evaluate radiographic/clinical
outcomes in HGS patients treated using modified "Reverse Bohlman" (RB) technique.
METHODS: Review of consecutive HGS patients undergoing RB at a single
university-center from 2006 to 2013. Clinical, surgical, radiographic parameters
collected. RESULTS: Six patients identified: five with L5-S1 HGS with L4-L5
instability and one had an L4-5 isthmic spondylolisthesis and grade 1 L5-S1
isthmic spondylolisthesis. Two interbody graft failures and one L5-S1
pseudoarthrosis. Postoperative improvement of anterolisthesis (62.3% vs. 49.6%,
p = 0.003), slip angle (10 vs. 5°, p = 0.005), and lumbar lordosis (49 vs. 57.5°,
p = 0.049). CONCLUSIONS: RB technique for HGS recommended when addressing
adjacent level instability/slip.