CORR Insights®: What Are the Patient-reported Outcomes Complications and Radiographic Results of Lumbar Fusion for Degenerative Spondylolisthesis in Patients Younger Than 50 Years?

摘要

Although spondylolisthesis and stenosis are common, many controversies remain about how best to treat them. Several older studies reported better outcomes for decompression and fusion compared with decompression alone [1, 8, 11, 12]. But two recent publications in the New England Journal of Medicine suggest that decompression alone can result in comparable validated outcomes scores and functional parameters when compared with decompression and fusion [5, 7]. Several studies have compared pain, patient reported outcomes, and radiographic outcomes for various surgical techniques [2, 3, 4, 13, 15], but based on the data thus far, there are no clear advantages to any one technique.