Možnosti chirurgické léčby u „high dysplastic“ spondylolistéz, zhodnocení velikosti repozice olistetického obratle v závisloti na chirurgickém výkonu

Title in English Possibilities of surgical treatment of High Dysplastic Spondylolisthesis, results of the reposition of the operated vertebral segment according to surgical treatment


Year of publication 2018
Type Article in Periodical
Magazine / Source Ortopedie
MU Faculty or unit

Faculty of Medicine

Keywords High Dysplastic Spondylolisthesis, 360° fusion, sagittal balance, reposition, retention
Description Spondylolisthesis is defined as the patological situation of the spine in which the slippage of the upper vertebral body against the lower vertebral body occurs. The specific type of Spondylolisthesis is called High Dysplastic Spondylolisthesis and it is based on dysplastic changes of the lumbosacral part of the spine. The most often vertebral bodies affected are L5 and S1. The slippage of two vertebral bodies results in anatomical changes of the spine, leading to decompensation of the sagittal profile of the whole spine affecting the normal posture and gait of the patient. Despite the significant progress in the diagnosis and development of many therapeutic algorithms in the last few decades, the ideal surgical treatment option remains still unclear and controverse. At our Orthopaedic Department we prefer surgical therapy using 360° fusion with the reposition and stabilisation of the slipped vertebral bodies as the treatment of High Dysplastic Spondylolisthesis. Reposition of the slippage leads to normalisation of both the anatomy and the sagittal profile of the spine. For reposition and retention different maneuvers and surgical techniques of the 360° fusion are used. This article contains the summary of the topic of Spondylolisthesis, focused on HDDS, describes different types of the surgical technique and shows results of the reposition on our set of patients from the period of time 2004-2016.

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