Management of high-grade spondylolisthesis.

Journal Article (Journal Article;Review)

Management of high-grade spondylolisthesis (HGS) remains challenging and is associated with significant controversies. The best surgical procedure remains debatable. Although the need for instrumentation is generally agreed upon, significant controversies still surround the role of reduction and anterior column support in the surgical management of HGS. Complications with operative management of HGS can be significant and often dictate the selection of surgical approach. This review highlights the pathophysiology, classification, clinical presentation, and management controversies of HGS, in light of recent advances in our understanding of the importance of sagittal spinopelvic alignment and technologic advancements.

Full Text

Duke Authors

Cited Authors

  • Kasliwal, MK; Smith, JS; Kanter, A; Chen, C-J; Mummaneni, PV; Hart, RA; Shaffrey, CI

Published Date

  • April 2013

Published In

Volume / Issue

  • 24 / 2

Start / End Page

  • 275 - 291

PubMed ID

  • 23561564

Electronic International Standard Serial Number (EISSN)

  • 1558-1349

Digital Object Identifier (DOI)

  • 10.1016/


  • eng

Conference Location

  • United States