Spondylolisthesis in young patients: postoperative functional outcomes at 22-year mean follow-up
- 22.06.2021
- Orthopaedic Surgery
Erschienen in:
- Verfasst von
- Giuseppe Barone
- Laura Scaramuzzo
- Fabrizio Giudici
- Francesco Manzini
- Leone Minoia
- Marino Archetti
- Antonino Zagra
- Erschienen in
- Archives of Orthopaedic and Trauma Surgery | Ausgabe 1/2023
Abstract
Introduction
Previous short- and intermediate-term clinical and radiographic studies demonstrated good results in patients who underwent spine surgery for spondylolisthesis, long-term outcomes are lacking instead. Young patients are often involved in high-demanding and sport activities, therefore good/excellent functional outcomes are very important for their future quality of life. The aim of this study is to assess the long-term functional results in young patients surgically treated for developmental spondylolisthesis.
Materials and methods
Retrospective evaluation of consecutive patients who underwent lumbar surgery for spondylolisthesis. Inclusion criteria were: spondylolisthesis from grade 1 to spondyloptosis, age at surgery < 25 years, follow-up > 15 years. The following outcomes were assessed: VAS back, VAS leg, Oswestry disability index (ODI) score, Short Form 12 (SF-12), rate of revision surgery, postoperative recovery and sport activity.
Results
113 patients were enrolled. Mean age at surgery was 19.8 years and mean follow-up was 22.1 years (16–32). 16 patients (14.2%) needed revision surgery. Functional outcomes at last follow-up were: VAS back = 1.6, VAS leg = 1.4, ODI = 9.2%, SF-12 physical component summary = 50, SF-12 mental component summary = 48.7. Significant differences were assessed in terms of ODI (p = 0.047) and SF-12 PCS (p = 0.015) between group treated with instrumented and non-instrumented techniques. Among the patients who practiced a sport, 87% returned to sport postoperatively (55% at medium–high-intensity level).
Conclusion
This study shows good long-term functional outcomes in patients surgically treated for developmental spondylolisthesis. After surgery, there is a low incidence of back pain, the residual disability is mild and almost half of patients recover the same level of sport activity. Instrumented surgical techniques developed over the years seem to be related to high revision rate, but this does not affect long-term functional results.
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- Titel
- Spondylolisthesis in young patients: postoperative functional outcomes at 22-year mean follow-up
- Verfasst von
-
Giuseppe Barone
Laura Scaramuzzo
Fabrizio Giudici
Francesco Manzini
Leone Minoia
Marino Archetti
Antonino Zagra
- Publikationsdatum
- 22.06.2021
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Archives of Orthopaedic and Trauma Surgery / Ausgabe 1/2023
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916 - DOI
- https://doi.org/10.1007/s00402-021-04006-8
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