AOSpine Needs Assessment

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Pipsa Ylanko, AOSpine Global Education Manager

General Editor: Luiz Vialle

Authors: Jean Ouellet

Spondylolisthesis

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Glossary

Spondylolisthesis - Type 1

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative Asymptomatic patients Basic surgical experience, no specialized skills Basic equipment only
Primary repair with pars screw Failed conservative treatment of 6 months, small body habitus, pain Highly experienced and skilled surgeon Simple surgical and imaging resources
Primary repair with pedicle screw and rod Failed conservative treatment of 6 months, large body habitus, pain Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Anterior fusion of L5-S1 Radiological evidence of disk degeneration, symptomatic evidence of degenerative disease. Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Posterior fusion L5-S1 L5-S1 disk degeneration Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Spondylolisthesis - Type 2

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative Asymptomatic patients Basic surgical experience, no specialized skills Basic equipment only
Anterior fusion of L5-S1 Failed conservative treatment of 6 months, pain, normal pelvic incidence, surgeons experience with anterior abdominal approaches Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Posterior fusion of L5-S1 Failed conservative treatment of 6 months, pain, normal pelvic incidence, Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Spondylolisthesis - Type 3

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative Asymptomatic patients Basic surgical experience, no specialized skills Basic equipment only
Posterior fusion of L5-S1 Failed conservative treatment of 6 months, pain, high pelvic incidence Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Combined anterior and posterior fusion Failed conservative treatment of 6 months, pain, high pelvic incidence Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Spondylolisthesis - Type 4

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative Asymptomatic patients Basic surgical experience, no specialized skills Basic equipment only
Posterior fusion of L5-S1 Failed conservative treatment of 6 months, pain, high pelvic incidence Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Spondylolisthesis - Type 5

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative Asymptomatic patients Basic surgical experience, no specialized skills Basic equipment only
Posterior fusion of L5-S1 Failed conservative treatment of 6 months, pain, unbalanced pelvis Basic surgical experience, no specialized skills Full specialized surgical and imaging resources

Spondylolisthesis - Type 6

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative Asymptomatic patients Basic surgical experience, no specialized skills Basic equipment only
Posterior fusion of L4-S1 (with or without pelvic fixation or ala) Failed conservative treatment of 6 months, pain, unbalanced pelvis, unbalanced spine Highly experienced and skilled surgeon Full specialized surgical and imaging resources
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2016-12-01