Top Papers are articles in a specific subject rated by professionals and scholars in the field. Top 10 articles are displayed in an order from the most highest rating to the lowest. In order to rate an article, one must first register at SpineDeformityBlog.com as a member.

An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis.

Watters WC III, Bono CM, Gilbert TJ, et al.

Spine J.  2009; 9: 609-614.

PMID:  19447684

This summary of NASS’s clinical guideline for degenerative spondylolisthesis addresses 19 clinical questions based on a rigorous review of published evidence.  Regrettably the evidence available was often deemed insufficient.  Nonetheless, this document should be the definitive starting point for reading about the treatment of degenerative spondylolisthesis.

web:  http://www.thespinejournalonline.com/article/S1529-9430%2809%2900151-X/abstract

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

Morbidity and mortality in the surgical treatment of 10,242 adults with spondylolisthesis.

Sansur CA, Reames DL, Smith JS, et al.

J Neurosurg Spine.  2010; 13: 589-593.

PMID: 21039149
This paper used a large patient registry to report on complications in surgery for spondylolisthesis. There were 945 complications (9.2%) in 813 patients (7.9%), including 10 deaths (0.1%). This study provides a definitive complication rate for use in counseling patients.

web: http://thejns.org/doi/pdf/10.3171/2010.5.SPINE09529

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

Surgical Compared with Nonoperative Treatment for Lumbar Degenerative Spondylolisthesis: Four-Year Results in the Spine Patient Outcomes Research Trial (SPORT) Randomized and Observational Cohorts.

Weinstein JN, Lurie JD, Tosteson TD, et al. 

J Bone Joint Surg Am. 2009; 91: 1295-1304.

PubMed PMID: 19487505

web:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2686131/pdf/JOBOJOS9161295.pdf

This paper reports the four year clinical outcomes of the prospective multicenter SPORT study on degenerative spondylolisthesis with stenosis.  It confirms and supersedes the 2-year as-treated analysis showing that surgery had a meaningfully greater treatment effect than routine conservative care.  This paper provides high-quality evidence supporting surgical treatment.

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

A Critical Analysis of the Literature Regarding Surgical Approach and Outcome for Adult Low-Grade Isthmic Spondylolisthesis.

Kwon BK, Hilibrand AS, Malloy K, Savas PE, Silva MT, Albert TJ, Vaccaro AR.

J Spinal Disord Tech. 2005; 18: S30-40.

PMID: 15699803

This paper reports a metaanalytic-like pooled analysis of surgical outcomes for low-grade isthmic spondylolisthesis from 34 previous studies.  Combined anterior-posterior surgery had better outcomes than either approach alone.  Smokers and patients with secondary gains had substantially worse outcomes.  This is the best available review paper on isthmic spondylolisthesis.

web:  http://journals.lww.com/jspinaldisorders/pages/articleviewer.aspx?year=2005&issue=02001&article=00005&type=abstract

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

Spondylolysis and spondylolisthesis in children and adolescents.

Tsirikos AI, Garrido EG.

J Bone Joint Surg Br.  2010; 92: 751-759.

PMID:  20513868

This comprehensive narrative review paper provides a highly informative overview of spondylolysis and spondylolisthesis in the pediatric population.  The evidence base to guide treatment in this population is weak, but the authors provides a convincingly rational algorithm and many useful insights.  An invaluable guide for this rarely addressed population.

web:  http://web.jbjs.org.uk/cgi/content/abstract/92-B/6/751

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

Degenerative Lumbar Spondylolisthesis: An Epidemiological Perspective – The Copenhagen Osteoarthritis Study.

Jacobsen S, Sonne-Holm S, Rovsing H, Monrad H, Gebuhr P.

Spine.  2007; 32: 120-125.

PMID:  17202902

This large community-based epidemiological study found a higher prevalence of degenerative spondylolisthesis in women than in men (8.4% vs. 2.7%), which they attribute to menopause.  They report on factors that were or were not significantly related to this diagnosis.  This paper provides important information for healthcare planning and prevention.

web:  http://journals.lww.com/spinejournal/Abstract/2007/01010/Degenerative_Lumbar_Spondylolisthesis__An.19.aspx

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine – Part 9: fusion in patients with stenosis and spondylolisthesis.

Resnick DK, Choudhri TF, Dailey AT, et al.

J Neurosurg Spine.  2005; 2: 679-685.

PMID:  16028738

This treatment guideline from CNS should now be considered outdated and superseded.  Nonetheless, it provides a high-quality systematic review of all English literature on this topic up to August 2003.  Thus this paper serves as an invaluable synopsis of the clinical literature to that time.

web:  http://thejns.org/doi/abs/10.3171/spi.2005.2.6.0679


Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

The natural history of spondylolysis and spondylolisthesis: 45-year follow-up evaluation.

Beutler WJ, Fredrickson BE, Murtland A, et al.

Spine. 2003; 28:1027-1035.

PubMed PMID:  12768144
This prospective study on spondylolysis and spondylolisthesis identified pars defects in 30 of 500 school children by adulthood and followed these 30 radiographically and clinically for an incredible 45 years. Although the study sample is small, this paper provides unique information on the long-term natural history of spondylolysis.

web:  http://journals.lww.com/spinejournal/Abstract/2003/05150/The_Natural_History_of_Spondylolysis_and.14.aspx


Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

Diagnosis and conservative management of degenerative lumbar spondylolisthesis.

Kalichman L, Hunter DJ.

Eur Spine J.  2008; 17: 327-335.

PMID:  18026865

This narrative review discusses degenerative spondylolisthesis and several non-operative treatment options.  It finds little research evidence providing support for any of the non-operative forms of treatment.  This article is informative and well-referenced.  It serves as the best guide to the (unsupported) conservative care of spondylolisthesis.

web:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2270383/pdf/586_2007_Article_543.pdf

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments

New Concepts on the Pathogenesis and Classification of Spondylolisthesis.

Hammerberg KW.

Spine.  2005; 30: S4-S11.

PMID:  15767885
This narrative review paper presents a brief overview of the anatomy, biomechanics, etiology, and nosography of spondylolisthesis.  The article is informative but some of its assertions about the natural history and proper classification seem poorly supported.  The article is a useful starting point for studying these topics.

web:  http://journals.lww.com/spinejournal/Abstract/2005/03151/New_Concepts_on_the_Pathogenesis_and.4.aspx

Posted by on Nov 16, 2011 in Spondylolisthesis | 0 comments