Differences in the surgical management of degenerative lumbar spondylolisthesis based on self-reported sex: analysis of the CSORN prospective DLS study

CONCLUSIONS: Although it remains unclear who should or should not undergo fusion, in addition to surgical decompression of DLS, female patients undergo fusion at a higher rate than their male counterparts. After matching baseline radiographic factors indicating fusion, this analysis showed that the decision to fuse was not biased by sex differences. Rather, the higher proportion of females undergoing fusion is largely explained by the radiographic and clinical indications for fusion, suggesting that specific clinical and anatomical features of this condition are indeed different between sexes.PMID:38457803 | DOI:10.3171/2024.1.SPINE23621

Source: Journal of Neurosurgery.Spine - March 8, 2024 Category: Neurosurgery Authors: Taryn N Walker Jennifer C Urquhart Parham Rasoulinejad Supriya Singh R Andrew Glennie Charles G Fisher Y Raja Rampersaud Edward Abraham John Street Marcel F Dvorak Scott Paquette Raphaele Charest-Morin Nicolas Dea Nicholas Gelinas-Phaneuf Brian K Kwon Chr Source Type: research