alexa Recapping Laminoplasty for Adult Low-Grade Isthmic Spondylolisthesis | OMICS International | Abstract
ISSN: 2165-7939

Journal of Spine
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Research Article

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
Tel: +201064306080
Fax: +20934602963
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.

Abstract

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.

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