СКОЛИОЗ И СПОНДИЛОЛИСТЕЗ: ВАРИАНТ РЕШЕНИЯ ПРОБЛЕМЫ

Objective. To evaluate the results of surgical correction of scoliotic deformities in patients with spondylolisthesis. Material and Methods. A total of 51 patients with scoliosis and spondylolisthesis were observed in 1998–2016. Spondylolisthesis was asymptomatic in 49 cases. Most patients had grade I spondylolisthesis. Surgical correction of scoliotic deformity of the spine with segmental instrumentation was performed in 31 cases. Results. The average magnitude of the initial scoliotic curve before surgery was 67.2°, after surgery – 33.4°, and correction was 50.3 %. The magnitude of countercurve before surgery was 28.1°, after surgery – 11.1°, and correction was 35.5 %. In all cases, the L 5 vertebra was not included in the spinal fusion zone. Progression of the degree of the L 5 vertebra displacement in the postoperative period was not revealed. Neurological deficit was not observed. The average follow-up period was 5.4 ± 3.3 years. Conclusion. Correction of idiopathic scoliosis in the presence of L 5 spondylolisthesis can be carried out with good and satisfactory results and minimal risk of listhesis progression, and with preservation of the achieved result in the long-term period.