Anterior Interbody Fusion for the Spondylolisthesis.
10.4184/jkss.2001.8.3.350
- Author:
Chang Hoon JEON
1
Author Information
1. Department of Orthopaedic Surgery, Ajou University School of Medicine, Suwon, Korea. chjeon@madang.ajou.ac.kr
- Publication Type:Review
- Keywords:
Spondylolisthesis;
Anterior interbody fusion
- MeSH:
Axis, Cervical Vertebra;
Decompression;
Hemorrhage;
Humans;
Intervertebral Disc;
Low Back Pain;
Lumbosacral Region;
Neurologic Manifestations;
Posture;
Spinal Canal;
Spine;
Spondylolisthesis*;
Surgical Procedures, Operative;
Walking
- From:Journal of Korean Society of Spine Surgery
2001;8(3):350-355
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spondylolisthesis is defined as the anterior slippage of one vertebra on another. Spondylolisthesis is a common painful condition but can also be an incidental radiographic finding in asymptomatic persons. Mild spondylolisthesis predisposes to chronic low back pain. The purpose of surgical treatment are to reduce low back pain and radiating pain, to relieve the neurologic symptoms, and to improve the posture by eliminating the instability of the lumbosacral region. The operative procedures include anterior interbody fusion, posterior fusion, posterolateral fusion, Gill's procedure, and repair of the pars interarticularis. The biomechanics of anterior interbody fusion are based on the restoration of the intervertebral disc space and fusion on the intantaneous axis of ratation of the functional vetebral unit. The advantages of anterior interbody fusion are indirect decompression of the spinal canal, decreased posterior muscle injury, reduced bleeding from the operative site, early postoperative ambulation; reduced hospital days, and high fusion rate.