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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2002, Number 1

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Acta Ortop Mex 2002; 16 (1)

Luque square and interapophyseal sublaminar wiring instrumentation and postero lateral arthrodesis for treatment of L5 S1 spondylolisthesis.

Reyes SA, Miramontes MV, Rosales OLM, Farrera R

Language: Spanish
References: 27
Page: 16-19
PDF size: 69.15 Kb.


ABSTRACT

Spondylolisthesis is a common problem observed in 5% of general population, lumbar pain is symptom that started the consultation and which guided surgical treatment indication for direct compression radiculopathy. Surgical treatment is focused to radicular liberation, reduction and internal fixation. The results of 8-year follow-up of a Gill’s combined technique with reduction and fixation with Luque’s bar and Dufoo’s elbow, with interaphophysary wiring to the transverses over the bar and posterolateral arthrodesis is presented in this paper. This is a prospective, longitudinal, descriptive and no experimental study in 9 patients with spondilitic spondylolysis grade III or lower, between 18 and 70 years old, the study was started in March 1991 and finished in September 1991. Surgical technique is described and gait, symptomatology, electromyography, grade of listhesis in pre-operatory, pos-and 8 year after surgery as much as complications are evaluated. Results were 2 male and 7 female patients, 48 years of average age, 7 with sciatic pain and 4 with lumbar pain, 2 with grade I and 7 with grade II of listhesis. Symptomatology disappeared in all cases before 6 months postsurgery, but after 2 years postoperatively all patients presented low intensity lumbar pain during physical efforts that relief with analgesic drugs, rest or both. Transoperatory grade of correction was 100% in all cases; it was totally loosen before 6 months in 7 cases; and 50% of loss in the other 2 patients. This correction or listhesis grade is maintained until 8 years postsurgery. In all cases consolidation was observed in less than 9 months. Complications are inherent to the technique procedure and to the vertebral structure without functional repercussion, but in listhesis reduction only. It is concluded that instrumentation with smooth frame, with sublaminar wiring in L5-S1 and with interaphophysary wiring in L5 is not effective in reduction and definitive fixation of spondylolisthesis; however, posterolateral arthrodesis with quality and effective quantity is achieved with this technique.


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