1. [Degenerative spondylolisthesis. Clinical manifestations and treatment apropos of 26 operated cases].
- Author
-
Cauchoix J, Bloch-Michel H, Benoist M, and Chassaing V
- Subjects
- Aged, Female, Humans, Intermittent Claudication etiology, Laminectomy, Lumbar Vertebrae diagnostic imaging, Lumbar Vertebrae surgery, Male, Middle Aged, Myelography, Nerve Compression Syndromes etiology, Sciatica etiology, Spinal Fusion, Spinal Nerve Roots, Spondylolisthesis diagnosis, Spondylolisthesis etiology, Spondylolisthesis surgery
- Abstract
The authors report 26 cases of surgically treated degenerative spondylolisthesis. Twelve patients complained of permanent uni or bilateral sciatica. All the others had a syndrome of intermittent claudication with pain and paresthaesia. The authors stress once again the highly evocative nature of this syndrome which reflects involvement of the nerve roots in the stenosed lumbar canal. Treatment consisted of lamino-arthrectomy which resulted in the disappearance of symptoms in most of cases. In four cases, vertebral slipping worsened during the post-operative cowise with, in three cases a recurrence of symptoms necessitating a complementary arthrodesis. This risk of increased slipping is a result of the instability created by the arthrectomy, especially when it is bilateral, and has led the authors to widen their indications for routine complementary postero-lateral arthrodesis.
- Published
- 1976