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MINIMALLY INVASIVE CIRCUMFERENTIAL ARTHRODESIS OF THE FOURTH LUMBAR LEVEL FOR SPONDYLOLISTHESIS TREATMENT

ARTRODESE CIRCUNFERENCIAL MINIMAMENTE INVASIVA DE 4º NÍVEL LOMBAR PARA TRATAMENTO DE ESPONDILOLISTESE

ARTRODESIS CIRCUNFERENCIAL MINIMAMENTE INVASIVA DEL CUARTO NIVEL LUMBAR PARA TRATAMIENTO DE ESPONDILOLISTESIS

ABSTRACT

Objective:

To know the clinical and radiographic results of patients with L4-L5 degenerative spondylolisthesis grade I, II, and III surgically treated with minimally invasive 360-degree arthrodesis. To determine the clinical and radiographic results according to the Oswestry Index 6 months after surgery and the percentage of postsurgical reduction in these patients.

Methods:

The present study was developed in the Department of Spinal Surgery of the Unidad Médica de Alta Especialidad Lomas Verdes, from October 2016 to August 2017. It is a prospective, cross-sectional, comparative observational study. We evaluated the reduction of the listhesis using pre and post-operative radiographs, as well as the Oswestry Disability Index.

Results:

The sample was composed of 12 patients, eight females and four males, showing a statistical significance in the Student’s t test, with p=0.05 for both variables.

Conclusions:

Degenerative spondylolisthesis of the 4th lumbar level is a very frequent pathology that affects groups of productive age and represents a burden not only for the patient, but also for the community. This surgical technique showed a high level of security and confidence for its resolution, showing results comparable to the literature. However, it requires certain technical resources and training to be performed. Evidence Level II; Prospective comparative study.

Keywords:
Spine; Surgery; Minimally invasive surgical procedures; Treatment outcome; Prospective studies

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