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Lumbar degenerative spondylolisthesis (LDS), i.e., is an the acquired slippage of one lumbar vertebra on over the one below itthe lower one as the result of because of degenerative instability, in the absence of a defect in the pars interarticularis,. The disease is a condition frequently seen observed in middle-aged and oldelderly aged females. and patients Some patients with LDS may not present with any may have no clinical symptoms. Most of the time, the sSymptomatic patients generally respond well to non-surgical treatments, such as which include lifestyle modification (reducing environmental pain generators), medication, physical therapy, weight reduction, multidisciplinary pain clinicsmanagement, or epidural injections.

In Surgery may be necessary in refractory cases patients  1 with intolerable symptoms, such as (a a dramatic decline in quality of life, unresponsive to a reasonable trial of >3 months conservative treatment, rest pain, progressive neurological deficit, or sphincter disturbances), or in patients who are unresponsive to a reasonable trial of >3 months of conservative treatmentsurgery may be necessary. At the present timeCurrently, 70-%–80% of the surgically treated patients have a report satisfactory outcomes, but due tobecause of the continuing degenerationve process, the results outcomes get worseworsen over time. Common Poor poor prognostic factors commonly quoted for the surgically treated patients with surgical treatment,  2 include age > 65 years, symptom chronicity of symptoms > 24 months, instrumentation > 4 levels, inability to restore sagittal balance, comorbidities > 4, more preoperative back pain more than leg pain, posterolateral versus 360° fusion versus 360 degrees, intermittent claudication after walking for more than several hundred meters, previous surgery, and inability to fuse. A range ofMany surgical techniques, including indirect reduction, decompression, decompression plus lumbar fusion with or without instrumentation, and decompression and slip reduction plus instrumented fusion, has have been used for surgical treatment offor treating LDS. These include indirect reduction alone, decompression alone, decompression plus lumbar fusion with or without instrumentation, decompression and slip reduction plus instrumented fusion.  3 In this study, we aimedWe aimed to evaluate the surgical outcomes of patients with degenerative spondylolisthesisLDS 4 with following neural decompression, pedicular screw fixation, and posterolateral fusion.

Explanations

Lumbar degenerative spondylolisthesis (LDS), i.e., is an the acquired slippage of one lumbar vertebra on over the one below itthe lower one as the result of because of degenerative instability, in the absence of a defect in the pars interarticularis,. The disease is a condition frequently seen observed in middle-aged and oldelderly aged females. and patients Some patients with LDS may not present with any may have no clinical symptoms. Most of the time, the sSymptomatic patients generally respond well to non-surgical treatments, such as which include lifestyle modification (reducing environmental pain generators), medication, physical therapy, weight reduction, multidisciplinary pain clinicsmanagement, or epidural injections.

In Surgery may be necessary in refractory cases patients  1 with intolerable symptoms, such as (a a dramatic decline in quality of life, unresponsive to a reasonable trial of >3 months conservative treatment, rest pain, progressive neurological deficit, or sphincter disturbances), or in patients who are unresponsive to a reasonable trial of >3 months of conservative treatmentsurgery may be necessary. At the present timeCurrently, 70-%–80% of the surgically treated patients have a report satisfactory outcomes, but due tobecause of the continuing degenerationve process, the results outcomes get worseworsen over time. Common Poor poor prognostic factors commonly quoted for the surgically treated patients with surgical treatment,  2 include age > 65 years, symptom chronicity of symptoms > 24 months, instrumentation > 4 levels, inability to restore sagittal balance, comorbidities > 4, more preoperative back pain more than leg pain, posterolateral versus 360° fusion versus 360 degrees, intermittent claudication after walking for more than several hundred meters, previous surgery, and inability to fuse. A range ofMany surgical techniques, including indirect reduction, decompression, decompression plus lumbar fusion with or without instrumentation, and decompression and slip reduction plus instrumented fusion, has have been used for surgical treatment offor treating LDS. These include indirect reduction alone, decompression alone, decompression plus lumbar fusion with or without instrumentation, decompression and slip reduction plus instrumented fusion.  3 In this study, we aimedWe aimed to evaluate the surgical outcomes of patients with degenerative spondylolisthesisLDS 4 with following neural decompression, pedicular screw fixation, and posterolateral fusion.

Explanations

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