Fusion for unstable spondylolisthesis

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tagey
Participant

March 14, 2021 at 4:37 pm

Post count: 2

#33752

I’m looking for solutions for my L5 unstable isthmic spondylolisthesis (Grade I to Grade II).

Is it true that it’s better to fuse from L4 to the pelvis in order to prevent the screws from breaking? That’s what one doctor recommended (for a 360 fusion).

Donald Corenman, MD, DC
Moderator

March 15, 2021 at 6:23 am

Post count: 8465

#33753

If your disc at L4-5 is intact and the L5-S1 level is unstable, a simple ALIF with pedicle screws (360) or a TLIF at L5-S1 only would be the recommended procedure. Screws break due to lack of fusion which is quite rare today.

Dr. Corenman
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PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.

Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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