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Pain Management Clinic - Victoria Pain & Rehabilitation …

All patients had their surgery done by the hospitals two senior surgeons. The patients were all individually assessed and the chosen surgery was regarded as optimal for each patient [,]. The intention was to release the pressure on nerve tissue by removing enough of the bone, facet joints and ligaments due to the compression. The procedure included a laminectomy with partial removal of bone from inferior aspect of one lamina and superior aspect of the subjacent lamina, excision of the flavum ligaments, and partial medial facetectomy. If there were calculated risk of lumbar instability, it was applied a segmental fusion. Instability was defined as degenerative spondylolisthesis of the spine warranting a stabilizing surgical procedure. The patients that underwent fusion were to use an orthosis for four months.

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With aging of the population, degenerative lumbarspinal stenosis (DLSS) is becoming an increasingly common spinaldisease. DLSS is often characterized by radiological findings ofmultilevel disc herniation and lumbar spondylolisthesis and isdifficult to treat. Although there has been a series ofimprovements in surgical technique, the traditional laminectomywith interbody or posterolateral fusion from the posterior approachcontinues to be widely used. However, multilevel fusion causesgreat damage to the normal structure, prolongs recovery time andmay result in chronic lower back pain (). In the current study, we evaluated thecombined use of microendoscopic discectomy (MED) and minimallyinvasive transforaminal lumbar interbody fusion (MI-TLIF) for thetreatment of multilevel DLSS with spondylolisthesis, which hadsatisfactory short-term clinical outcomes, and compared thecombined surgery with the traditional lumbar interbody fusion fromthe posterior midline approach (PLIF).

Bone and Tendon Graft Substitutes and Adjuncts - …

Kalichman L, Hunter DJ. Diagnosis and conservative management of degenerative lumbar spondylolisthesis. Eur Spine J. 2008;17(3):327-35.

() Exploratory decompression and adjunctive surgical therapy suchas curettage is usually performed in dogs with spondylolisthesisrefractive to medical management and in cases of intervertebraldisk disease, lumbosacral stenosis, and diskospondylitis.

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