Recapping Laminoplasty for Adult Low-Grade Isthmic Spondylolisthesis
|Ahmed Saleh Shaker1* and Ahmed Hashem Amin2|
|1Orthopedic Department, Faculty of Medicine, Sohag University, Egypt|
|2Orthopedic Department, Faculty of Medicine, Zagazig University, Egypt|
|Corresponding Author :||Ahmed Saleh Shaker
Orthopedic Department, Faculty of Medicine
Sohag University, 82524 Sohag, Egypt
E-mail: [email protected]
|Received February 19, 2014; Accepted March 13, 2014; Published March 16, 2014|
|Citation: Shaker AS, Amin AH (2014) Recapping Laminoplasty for Adult Low-Grade Isthmic Spondylolisthesis. J Spine 3:160. doi:10.4172/2165-7939.1000160|
|Copyright: © 2014 Shaker AS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Study design: Prospective study.
Objectives of the study: To assess the results of recapping laminoplasty with posterior instrumentation and fusion in the management of adult low grade isthemic spondylolithesis.
Background: Isthmic spondylolisthesis is a condition where there is a translational displacement of the upper vertebral body compared to the lower one secondary to a defect in the pars interarticularis.
Methods: We treated10 patients, 3 men and 7 women with average age of 42.6 years using the technique of recapping laminoplasty and posterior transpedicular fixation and fusion. The mean vertebral slip was 33.5% (14-47%) preoperative, 6% (0-12%) direct postoperative and 7.4% (0-14%) after 1 year.
Results: At the latest follow up visit after 1 year 9 patients achieved fusion while 1 patient had non-union. The Oswestry disability index was mild in 8 patients and moderate in 2 patients.
Conclusion: Recapping laminoplasty can be used safely and effectively with anatomic reconstruction of the posterior structures for the management of adult low-grade isthmic spondylolisthesis.