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The Journal of Bone and Joint Surgery, Vol 73, Issue 6 802-808, Copyright © 1991 by Journal of Bone and Joint Surgery, Inc
Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis
HN Herkowitz and LT Kurz
Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan.
Fifty patients who had spinal stenosis associated with degenerative lumbar
spondylolisthesis were prospectively studied clinically and
radiographically to determine if concomitant intertransverse-process
arthrodesis provided better results than decompressive laminectomy alone.
There were thirty-six women and fourteen men. The mean age of the
twenty-five patients who had had an arthrodesis was 63.5 years and that of
the twenty-five patients who had not had an arthrodesis, sixty-five years.
The level of the operation was between the fourth and fifth lumbar
vertebrae in forty-one patients and between the third and fourth lumbar
vertebrae in nine patients. The patients were followed for a mean of three
years (range, 2.4 to four years). In the patients who had had a concomitant
arthrodesis, the results were significantly better with respect to relief
of pain in the back and lower limbs.

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