Westacott, Daniel J. and Cooke, Stephen J. . (2012) Functional outcome following direct repair or intervertebral fusion for adolescent spondylolysis : a systematic review. Journal of Pediatric Orthopaedics B, Vol.21 (No.6). pp. 596-601. ISSN 1473-5865

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Abstract

A systematic review of the literature was performed to establish whether direct repair of the pars defect or intervertebral fusion achieves better Oswestry Disability Index scores in adolescent spondylolysis or low-grade spondylolisthesis. Nine studies fulfilled the inclusion criteria, reporting a minimum total of 80 direct repairs and 108 fusions because of presumed replication of data between studies. Little statistically or clinically significant difference could be established between the two interventions. The only comparative study showed improved long-term outcome with fusion. Further well-designed prospective comparative studies are required to establish the optimum treatment for this condition.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine
Divisions:	Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Vertebrae -- Wounds and injuries -- Treatment, Spondylolisthesis -- Treatment
Journal or Publication Title:	Journal of Pediatric Orthopaedics B
Publisher:	Lippincott Williams & Wilkins
ISSN:	1473-5865
Date:	November 2012
Volume:	Vol.21
Number:	No.6
Page Range:	pp. 596-601
Identification Number:	10.1097/BPB.0b013e328355393d
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
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URI:	http://wrap.warwick.ac.uk/id/eprint/51988

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