Criteria for surgical reduction in high-grade lumbosacral spondylolisthesis based on quality of life measures.
Jean-Marc Mac-ThiongM Timothy HreskoAbdulmajeed AlzakriStefan ParentDan J SucatoLawrence G LenkeMichelle MarksHubert LabellePublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2019)
When performing surgery in young patients with high-grade lumbosacral spondylolisthesis, achieving normal pelvic balance is the key because it is associated with improved quality of life. Reduction to a low-grade slip is predictive of improved mental health, but reduction in lumbosacral angle is not associated with postoperative quality of life. There was a tendency for obtaining normal postoperative balance in patients with postoperative L5 incidence 60° or smaller. These slides can be retrieved under Electronic Supplementary Material.