2024 Volume 33 Issue 6 Pages 389-397
There are two types of surgical procedures for lumbar spondylolisthesis : fusion and decompression, but it has been debated which is better for lumbar spondylolisthesis. Although a rough consensus has been reached by instability, there are not many comprehensive studies at a high level of evidence.
By developing various kinds of surgical support devices and the roots which pass through to reach an interbody, trends in surgical procedures, including fusion and decompression, are changing to less invasive, highly reproducible surgical techniques.
Regarding treatment for spondylolisthesis, both neurological and imaging findings requires the evaluation that adds the dynamics. Furthermore, patient age, activity, and bone quality must also be considered.
What is the objective in nerve decompression, fusion, and alignment correction? On this issue, we discuss appropriate surgical techniques, based on understanding of clinical conditions in individual cases.
