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The Journal of Bone and Joint Surgery, Vol 70, Issue 1 25-30, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Failed arthrodesis of the spine for severe spondylolisthesis. Salvage by interbody arthrodesis

AA Jones, PC McAfee, RA Robinson, SJ Zinreich and H Wang
Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland 21205.

Four patients who had had grade-III or grade-IV symptomatic spondylolisthesis and a failed posterior or posterolateral arthrodesis were treated with transperitoneal anterior lumbosacral interbody arthrodesis and fixation with a fibular graft; the procedure was sometimes followed by posterolateral arthrodesis of the spine. The patients were examined ten to twenty-two years after the salvage operation. At follow-up, all had a solid fusion of the fifth lumbar to the first sacral vertebra. No neurological deficits had worsened and no iatrogenic neurological deficits had developed. The slip angle had improved by an average of 23.2 degrees (range, 12 to 35 degrees).
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