دورية أكاديمية
Current Evidence Regarding the Treatment of Pediatric Lumbar Spondylolisthesis: A Report From the Scoliosis Research Society Evidence Based Medicine Committee.
| العنوان: | Current Evidence Regarding the Treatment of Pediatric Lumbar Spondylolisthesis: A Report From the Scoliosis Research Society Evidence Based Medicine Committee. |
|---|---|
| المؤلفون: | Crawford CH 3rd; Norton Leatherman Spine Center, 210 E Gray St Suite 900, Louisville, KY 40202, USA; Department of Orthopaedic Surgery, University of Louisville School of Medicine, 550 S. Jackson Street, 1st Floor ACB, Louisville, KY 40202, USA. Electronic address: chcraw01@gmail.com., Larson AN; Department of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA., Gates M; Greater New York Hospital Association, 555 W 57th Street Suite 1500, New York, NY 10019, USA., Bess RS; Denver International Spine Center, Presbyterian St. Luke's/Rocky Mountain Hospital for Children, Denver, CO, USA., Guillaume TJ; Gillette Children's Specialty Healthcare, 200 University Avenue East, St. Paul, MN 55101, USA., Kim HJ; Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th St, New York, NY 10021, USA., Oetgen ME; Children's National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010, USA., Ledonio CG; Department of Orthopaedic Surgery, University of Minnesota, 2512 South 7th St, Suite R200, Minneapolis, MN 55454, USA., Sanders J; Department of Orthopaedics and Rehabilitation, University of Rochester, 601 Elmwod Avenue, Box 665, Rochester, NY 14642, USA., Burton DC; Marc A Asher MD Comprehensive Spine Center, 3901 Rainbow Blvd MS 3017, Kansas City, KS 66160, USA. |
| المصدر: | Spine deformity [Spine Deform] 2017 Sep; Vol. 5 (5), pp. 284-302. |
| نوع المنشور: | Journal Article; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Nature Country of Publication: England NLM ID: 101603979 Publication Model: Print Cited Medium: Internet ISSN: 2212-1358 (Electronic) Linking ISSN: 2212134X NLM ISO Abbreviation: Spine Deform Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : London : Springer Nature Original Publication: New York, N.Y. : Elsevier |
| مواضيع طبية MeSH: | Lumbar Vertebrae/*surgery , Spinal Fusion/*methods , Spondylolisthesis/*surgery, Adolescent ; Adult ; Child ; Evidence-Based Medicine ; Female ; Humans ; Male ; Treatment Outcome ; Young Adult |
| مستخلص: | Study Design: Structured literature review. Objectives: The Scoliosis Research Society requested an assessment of the current state of peer-reviewed evidence regarding pediatric lumbar spondylolisthesis to identify what is known and what research remains essential to further understanding. Summary of Background Data: Pediatric lumbar spondylolisthesis is common, yet no formal synthesis of the published literature regarding treatment has been previously performed. Methods: A comprehensive literature search was performed. From 6600 initial citations with abstract, 663 articles underwent full-text review. The best available evidence regarding surgical and medical/interventional treatment was provided by 51 studies. None of the studies were graded Level I or II evidence. Eighteen of the studies were Level III, representing the current best available evidence. Thirty-three of the studies were Level IV. Results: Although studies suggest a benign course for "low grade" (<50% slip) isthmic spondylolisthesis, extensive literature suggests that a substantial number of patients present for treatment with pain and activity limitations. Pain resolution and return to activity is common with both medical/interventional and operative treatment. The role of medical/interventional bracing is not well established. Uninstrumented posterolateral fusion has been reported to produce good clinical results, but concerns regarding nonunion exist. Risk of slip progression is a specific concern in the "high grade" or dysplastic type. Although medical/interventional observation has been reported to be reasonable in a small series of asymptomatic high-grade slip patients, surgical treatment is commonly recommended to prevent progression. There is Level III evidence that instrumentation and reduction lowers the risk of nonunion, and that circumferential fusion is superior to posterior-only or anterior-only fusion. There is Level III evidence that patients with a higher slip angle are more likely to fail medical/interventional treatment of high-grade spondylolisthesis. Conclusions: The current "best available" evidence to guide the treatment of pediatric spondylolisthesis is presented. Level of Evidence: Level III; review of Level III studies. (Copyright © 2017 Scoliosis Research Society. Published by Elsevier Inc. All rights reserved.) |
| التعليقات: | Comment in: Spine Deform. 2018 Jan;6(1):97. (PMID: 29287826) Comment in: Spine Deform. 2018 Jan;6(1):97-98. (PMID: 29287827) |
| فهرسة مساهمة: | Keywords: Dysplastic; High-Grade; Isthmic; Low-Grade; Lumbar; Pediatric; Spondylolisthesis; Treatment |
| تواريخ الأحداث: | Date Created: 20170909 Date Completed: 20181211 Latest Revision: 20200109 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jspd.2017.03.011 |
| PMID: | 28882346 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 2212-1358 |
|---|---|
| DOI: | 10.1016/j.jspd.2017.03.011 |