Isthmic
spondylolisthesis is a common degenerative
disease of the
spine and seriously
affects people's
quality of life. At present, surgical indications for lumbar
spondylolisthesis have basically reached
consensus. The surgical plan for the
disease is mainly isthmus repair,
decompression of
spinal canal, reduction of
spondylolisthesis, and
spinal fusion. The principle of
treatment is mainly to relieve nerve compression and restore spinal stability, but for each the specific
method and degree of implementation of the link still remains controversial. Open
surgery can complete
decompression, reduction and fusion of severe
spondylolisthesis, and rebuild the stability of the
spine. However, the surgical
trauma is too large.
Minimally invasive surgery can reduce the damage of paravertebral soft
tissue, reduce intraoperative
blood loss, shorten the
time of
hospitalization and
rehabilitation, and reduce the
incidence of intraoperative and
postoperative complications. Therefore, in recent years, more and more clinicians praise it, but the
treatment of severe
spondylolisthesis lumbar
spondylolisthesis is not effective. This article reviews recent advances in surgical
treatment of lumbar
spondylolisthesis.