Surgical management of lumbar degenerative spondylolisthesis

摘要: Lumbar degenerative spondylolisthesis (DS) is a common cause of low back pain, radiculopathy, and/or neurogenic claudication. Treatment begins with trial nonsurgical methods, including physical therapy, NSAIDs, and epidural corticosteroid injections. Surgical treatment decompression fusion recommended for patients who do not respond to this initial regimen. Although much has been published in the past two decades on surgical management DS, optimal method remains controversial. Interbody may improve arthrodesis rates can be performed via numerous approaches. Minimally invasive techniques continue developed. Particular attention DS elderly warranted given increasing numbers persons. Healthcare utilization future must take into account evidence-based medicine that establishes clinically effective practices while simultaneously being cost effective.