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

• Main Authors: Jose Enrique Salcedo Oviedo, Luis Muñiz Luna, Marco Antonio Marban Heredia, Luis Ivan Herrera Alcaraz, Hugo Vilchis Sámano, Juvenal Ordaz Vega, Yadira Bahena Salgado, Mario Alonso Cienega Valerio
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Coluna (SBC)
• Series: Coluna/Columna
• Subjects: Columna vertebral; Cirugía; Procedimientos quirúrgicos mínimamente invasivos; Resultado del tratamiento; Estudios prospectivos
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200129&lng=en&tlng=en

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.