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Year : 2020  |  Volume : 13  |  Issue : 3  |  Page : 274-278

Conservative treatment of degenerative spondylolisthesis using a rigid brace: A case study

Traumatology and Orthopaedics Department, Pyongyang Medical College, Kim Il Sung University, Pyongyang, Democratic People's Republic of Korea

Correspondence Address:
Dong-Won Mun
Pyongyang Medical College, Kim II Sung University, Ryonhwa-Dong, Teasong District, Pyongyang
Democratic People's Republic of Korea
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_104_19

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Surgery is not always required in patients with spondylolisthesis. Meanwhile, surgical adverse events contribute significantly to postoperative morbidity. Restriction of the patient's activities, muscle rehabilitation, and other nonoperative measures, including the intermittent use of a rigid back brace, often are sufficient if the symptoms are minimal, and the slippage is mild. The study aimed to figure out the efficacy of conservative treatment using rigid brace in patients with degenerative spondylolisthesis. A total of patients (12 men and 18 women) who were hospitalized as a degenerative spondylolisthesis without neurological deficit at L4–L5 or L5–S1 from June 2015 to April 2017 underwent the rigid bracing. This study investigated pain, satisfaction, rate of reduction obtained according to the initial slip degrees, and degree of slip after the removal of immobilization at follow-up with radiographs of the patients with L4–L5 or L5–S1 spondylolisthesis. Twenty-eight patients (93.3%) complained no back pain and were satisfied with the rigid bracing. The complete reduction rate after reduction maneuver was 76.7% and after removal of the brace, in 15 patients, the slip disappeared at follow-up. Degenerative lumbar spondylolisthesis without neurological deficit can be treated successfully with rigid bracing with good outcomes.

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