{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T23:42:39Z","timestamp":1761522159420,"version":"build-2065373602"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":78,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:p>Avaliar os desfechos cl\u00ednicos de um procedimento de descompress\u00e3o sem fus\u00e3o em pacientes com espondilolistese degenerativa de baixo grau ou estenose est\u00e1vel do canal lombar.<\/jats:p>\n                  <jats:p>O estudo analisou 50 casos de doen\u00e7a degenerativa lombar submetidos \u00e0 descompress\u00e3o de um \u00fanico n\u00edvel. A avalia\u00e7\u00e3o radiogr\u00e1fica din\u00e2mica foi utilizada para determina\u00e7\u00e3o de instabilidade. O grupo 1 incluiu pacientes com estenose lombar est\u00e1vel e o grupo 2 incluiu pacientes com espondilolistese degenerativa de grau 1 de Meyerding. Dois anos ap\u00f3s a microdescompress\u00e3o lombar, os desfechos funcionais foram analisados segundo o \u00cdndice de Incapacidade de Oswestry (ODI, do ingl\u00eas Oswestry Disability Index) e a Escala Visual Anal\u00f3gica (EVA) de dor lombar e nos membros inferiores.<\/jats:p>\n                  <jats:p>O grupo 1 incluiu 25 casos com ODI m\u00e9dio de 75,36\u2009\u00b1\u200913,59 e EVA m\u00e9dia de dor lombar de 5,92\u2009\u00b1\u20093,45 e de dor nos membros inferiores de 8,92\u2009\u00b1\u20091,81. O grupo 2 incluiu 25 casos com ODI m\u00e9dio de 68,75\u2009\u00b1\u200911,81 e EVA m\u00e9dia de dor lombar de 8\u2009\u00b1\u20091,22 e de dor nos membros inferiores de 7,87\u2009\u00b1\u20091,57. Em 2 anos, o ODI m\u00e9dio do grupo 1 melhorou para 22,64\u2009\u00b1\u200917,2 (p\u2009&lt;\u20090,0001) e a EVA m\u00e9dia de dor lombar caiu para 2,04\u2009\u00b1\u20091,86 (p\u2009=\u20090,0002) e de dor nos membros inferiores diminuiu para 1,56\u2009\u00b1\u20091,97 (p\u2009&lt;\u20090,0001). O grupo 2 apresentou ODI m\u00e9dio de 24\u2009\u00b1\u200910,6 (p\u2009&lt;\u20090,0001) e EVA m\u00e9dia de dor lombar de 2,12\u2009\u00b1\u20091,43 (p\u2009=\u20090,0009) e de dor nos membros inferiores de 2,56\u2009\u00b1\u20091,35 (p\u2009=\u20090,0008). Ambos os grupos apresentaram melhora funcional estatisticamente compar\u00e1vel.<\/jats:p>\n                  <jats:p>A microdescompress\u00e3o lombar produziu desfechos funcionais compar\u00e1veis em ambos os grupos. Este procedimento \u00e9 uma op\u00e7\u00e3o vi\u00e1vel para preserva\u00e7\u00e3o da integridade do segmento de movimento lombar na espondilolistese degenerativa de baixo grau (grau 1 de Meyerding).<\/jats:p>","DOI":"10.1055\/s-0045-1810037","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T23:00:26Z","timestamp":1755558026000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["An\u00e1lise dos desfechos cl\u00ednicos da microdescompress\u00e3o lombar na espondilolistese degenerativa de grau 1 e na estenose est\u00e1vel do canal lombar"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5207-8729","authenticated-orcid":false,"given":"Ajaybir","family":"Singh","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Guru Gobind Singh Medical College and Hospital, Baba Farid University of Health Sciences, Faridkot, Punjab, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1097\/00007632-198504000-00017","article-title":"Segmental instability. Rationale for treatment","volume":"10","author":"J W Frymoyer","year":"1985","journal-title":"Spine"},{"issue":"08","key":"ref2","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1007\/s00701-023-05667-7","article-title":"Symptomatic lumbar stenosis due to low-grade degenerative spondylolisthesis can effectively be treated with mere decompression","volume":"165","author":"J MP Van Grafhorst","year":"2023","journal-title":"Acta Neurochir (Wien)"},{"issue":"07","key":"ref3","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1053\/crad.2001.0899","article-title":"Segmental lumbar spine instability at flexion-extension radiography can be predicted by conventional radiography","volume":"57","author":"M T Pitk\u00e4nen","year":"2002","journal-title":"Clin Radiol"},{"issue":"02","key":"ref4","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1097\/00007632-199002000-00011","article-title":"Extension-flexion radiographs for motion studies of the lumbar spine. A comparison of two methods","volume":"15","author":"E Putto","year":"1990","journal-title":"Spine (Phila Pa 1976)"},{"issue":"03","key":"ref5","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1097\/00007632-198504000-00015","article-title":"Radiologic diagnosis of degenerative lumbar spinal instability","volume":"10","author":"P R Dupuis","year":"1985","journal-title":"Spine (Phila Pa 1976)"},{"issue":"01","key":"ref6","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1186\/s13018-024-04681-4","article-title":"Biomechanical response of decompression alone in lower grade lumbar degenerative spondylolisthesis\u2013A finite element analysis","volume":"19","author":"R Liu","year":"2024","journal-title":"J Orthop Surg Res"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/S0030-5898(20)31329-8","article-title":"The pathophysiology of degenerative disease of the lumbar spine","volume":"14","author":"K Yong-Hing","year":"1983","journal-title":"Orthop Clin North Am"},{"issue":"04","key":"ref8","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1097\/00002517-199212000-00001","article-title":"The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement","volume":"5","author":"M M Panjabi","year":"1992","journal-title":"J Spinal Disord"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1016\/j.wneu.2024.10.123","article-title":"Decompression without Fusion in Patients with Low-Grade Degenerative Spondylolisthesis and Stenosis: Long-Term Patient-Reported Outcome","volume":"193","author":"J MP Van Grafhorst","year":"2025","journal-title":"World Neurosurg"},{"issue":"01","key":"ref10","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.1016\/j.surge.2022.02.008","article-title":"To fuse or not to fuse: The elderly patient with lumbar stenosis and low-grade spondylolisthesis. Systematic review and meta-analysis of randomised controlled trials","volume":"21","author":"A R Abdel-Fattah","year":"2023","journal-title":"Surgeon"},{"issue":"07","key":"ref11","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1302\/0301-620X.106B7","article-title":"Decompression alone or decompression with fusion for lumbar spinal stenosis: five-year clinical results from a randomized clinical trial","volume":"106-B","author":"T Karlsson","year":"2024","journal-title":"Bone Joint J"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"e079771","DOI":"10.1136\/bmj-2024-079771","article-title":"Decompression alone or with fusion for degenerative lumbar spondylolisthesis (Nordsten-DS): five year follow-up of a randomised, multicentre, non-inferiority trial","volume":"386","author":"E L Kgomotso","year":"2024","journal-title":"BMJ"},{"issue":"11","key":"ref13","doi-asserted-by":"publisher","first-page":"4281","DOI":"10.1007\/s00586-024-08495-0","article-title":"Fusion versus decompression alone for lumbar degenerative spondylolisthesis and spinal stenosis: a target trial emulation with index trial benchmarking","volume":"33","author":"I Unterfrauner","year":"2024","journal-title":"Eur Spine J"},{"issue":"01","key":"ref14","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1186\/s12891-024-07641-5","article-title":"Decompression alone or fusion in single-level lumbar spinal stenosis with spondylolisthesis? A systematic review and meta analysis","volume":"25","author":"H Cheng","year":"2024","journal-title":"BMC Musculoskelet Disord"},{"issue":"11","key":"ref15","doi-asserted-by":"publisher","first-page":"1270","DOI":"10.3390\/medicina57111270","article-title":"Stable Low-Grade Degenerative Spondylolisthesis Does Not Compromise Clinical Outcome of Minimally Invasive Tubular Decompression in Patients with Spinal Stenosis","volume":"57","author":"M Khashan","year":"2021","journal-title":"Medicina (Kaunas)"},{"issue":"07","key":"ref16","doi-asserted-by":"publisher","first-page":"1497","DOI":"10.2106\/00004623-200407000-00020","article-title":"Adjacent segment degeneration in the lumbar spine","volume":"86","author":"G Ghiselli","year":"2004","journal-title":"J Bone Joint Surg Am"},{"issue":"11","key":"ref17","doi-asserted-by":"publisher","first-page":"2089","DOI":"10.2106\/00004623-200311000-00004","article-title":"Perioperative complications of posterior lumbar decompression and arthrodesis in older adults","volume":"85","author":"L Y Carreon","year":"2003","journal-title":"J Bone Joint Surg Am"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1810037.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T23:39:18Z","timestamp":1761521958000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1810037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":17,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,7,29]]},"published-print":{"date-parts":[[2025,6]]}},"alternative-id":["s00451810037"],"URL":"https:\/\/doi.org\/10.1055\/s-0045-1810037","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"type":"print","value":"0102-3616"},{"type":"electronic","value":"1982-4378"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}