Findings from a pilot randomized trial of spinal decompression alone or spinal decompression plus instrumented fusion.

Nicolas J A Beresford-Cleary,Alan Silman,Chrishan Thakar,Adrian Gardner,Ian Harding,Cushla Cooper,Jonathan Cook,Dominique A Rothenfluh

Bone & joint open（2023）

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摘要

This study provides a unique insight into the prevalence of dynamic spondylolisthesis and PI-LL mismatch in patients with symptomatic spinal stenosis, and demonstrates that there is a need for a definitive RCT which stratifies for these groups in order to inform surgical decision-making. Nonetheless a definitive study would need further refinement in design and implementation in order to be feasible.

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关键词

stenosis,spondylolisthesis,fusion,decompression surgery,randomized trials,randomized controlled trials,spondylolisthesis,spinal stenosis,pelvic incidence-lumbar lordosis (pi-ll),patient-reported outcome measures,nonoperative treatment,degenerative spondylolistheses,radiographs

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