Surgical Versus Nonsurgical Treatment of Lumbar Spondylolisthesis

Michael Karsy; Erica F Bisson

doi:10.1016/j.nec.2019.02.007

Surgical Versus Nonsurgical Treatment of Lumbar Spondylolisthesis

Neurosurg Clin N Am. 2019 Jul;30(3):333-340. doi: 10.1016/j.nec.2019.02.007. Epub 2019 Apr 19.

Authors

Michael Karsy¹, Erica F Bisson²

Affiliations

¹ Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA.
² Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA. Electronic address: neuropub@hsc.utah.edu.

PMID: 31078234
DOI: 10.1016/j.nec.2019.02.007

Abstract

Degenerative spine disease with low back pain affects ∼80% of the U.S. population, and spinal stenosis and degenerative spondylolisthesis affect ∼20% of the population. Nonoperative and operative interventions have both been studied extensively to better our understanding of how these strategies enable us to improve outcomes in patients with degenerative lumbar spondylolisthesis. This review aims to compare nonoperative and operative strategies and describe the use of incremental cost-effectiveness ratios to assess treatment options in this patient population.

Keywords: Degenerative spine disease; Spine fusion; Spine instability; Spondylolisthesis; Spondylosis.

Publication types

Review

MeSH terms

Cost-Benefit Analysis
Decompression, Surgical*
Humans
Lumbar Vertebrae / surgery*
Spinal Stenosis / surgery*
Spondylolisthesis / surgery*
Treatment Outcome