Linked Life Data

3654708

Source:http://linkedlifedata.com/resource/pubmed/id/3654708

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1987-11-20
pubmed:abstractText
The outcome in eleven patients in whom Grade-III and IV spondylolisthesis was treated non-operatively (Group I) was compared with that in twenty-one patients in whom the same degrees of spondylolisthesis were treated by posterior interlaminar fusion (Group II). At an average eighteen-year follow-up of the eleven patients in Group I, four (36 per cent) were asymptomatic, six (55 per cent) had mild symptoms, and only one had significant symptoms. Five (45 per cent) had one or more neurological findings, but none were incontinent. All of the patients in this group led an active life, and all had required only minor adjustments in their life-style. At an average twenty-four-year follow-up of the twenty-one patients in Group II, twelve (57 per cent) were asymptomatic, eight (38 per cent) had mild symptoms, and only one had significant symptoms. Nine (50 per cent) of the eighteen patients who had a physical examination had one or more neurological findings. Roentgenographically demonstrated failure of fusion did not adversely affect the results, and the patients remained asymptomatic despite the development of pseudarthrosis in one patient and bending of the fusion mass in three (14 per cent). In situ arthrodesis provides acceptable results for the patient who has Grade-III or IV spondylolisthesis and pain that interferes with life-style and that is unresponsive to non-operative treatment. In the skeletally immature patient, in situ fusion is recommended for disturbances of gait secondary to tight hamstrings and when the spondylolisthesis progresses.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0021-9355
pubmed:author
pubmed:issnType
Print
pubmed:volume
69
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
960-9
pubmed:dateRevised
2010-10-25
pubmed:meshHeading
pubmed:year
1987
pubmed:articleTitle
Long-term follow-up of patients with grade-III and IV spondylolisthesis. Treatment with and without posterior fusion.
pubmed:affiliation
Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City 52242.
pubmed:publicationType
Journal Article, Comparative Study