Tuesday, May 8, 2012

Current management of Lumbar stenosis with Low grade Spondylolisthesis

Earlier view regarding the management of spinal canal stenosis with low grade Spondylolisthesis was by doing a laminectomy and wait and watch for the progression of listhesis and intervene accordingly.

But the current ideas regarding this is changing and is presented as a necessity for simultaneous stabilization and laminectomy. "Lumbar spinal fusion plus laminectomy appears to be a better option than laminectomy alone in terms of quality of life for patients with degenerative grade I spondylolisthesis with lumbar spinal stenosis"*.


* Zoher Ghogawala, MD, director of the Wallace Clinical Trials Center at Greenwich Hospital in Greenwich, Connecticut, presented these results from a prospective, 5-center, randomized, controlled trial here at the 80th Annual Scientific Meeting of the American Association of Neurological Surgeons.

Ref:  http://www.medscape.com/viewarticle/762967?src=mpnews&spon=26

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