{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:31:45Z","timestamp":1786649505942,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>High-grade spondylolisthesis (HGS) remains a difficult entity to treat, given the high rate of complications following surgical correction of such a spinal deformity. Reduction of spondylolisthesis may be associated with traction injury to the L5 nerve root due to stretching. We report on two cases of HGS where a novel surgical technique of offset rods was used for partial reduction of spondylolisthesis thereby reducing L5 nerve root traction. Both cases had more than 50% correction of translation with good correction of slip angle and satisfactory clinical outcomes were achieved at the final follow-up. In this study, we report on two cases of HGS treated with offset rod constructs. These rod constructs provide partial reduction, improving slip angle at the listhesis while reducing nerve root stress caused by full reduction and fixation. In comparison to previously described constructs, offset rods provide greater construct modularity and freedom to create constructs better suited to each patient\u2019s pathology.<\/jats:p>","DOI":"10.4103\/jcvjs.jcvjs_166_24","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T05:14:43Z","timestamp":1743657283000},"page":"118-122","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A novel approach to partial reduction of high-grade spondylolisthesis with offset rods \u2013 A report of two cases"],"prefix":"10.4103","volume":"16","author":[{"given":"Saurabh","family":"Rawall","sequence":"first","affiliation":[{"name":"Department of Orthopedics, University of Alabama, Birmingham, AL, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuhair","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Alabama, Birmingham, AL, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Alabama, Birmingham, AL, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Lepard","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Alabama, Birmingham, AL, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakthivel Rajaram","family":"Manoharan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Alabama, Birmingham, AL, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"R1-20250401","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1097\/CORR.0000000000001153","article-title":"Classification in brief: The meyerding classification system of spondylolisthesis","volume":"478","author":"Koslosky","year":"2020","journal-title":"Clin Orthop Relat Res"},{"key":"R2-20250401","doi-asserted-by":"crossref","first-page":"327","DOI":"10.14444\/7044","article-title":"High-grade spondylolisthesis in adults: Current concepts in evaluation and management","volume":"14","author":"Kunze","year":"2020","journal-title":"Int J Spine Surg"},{"key":"R3-20250401","doi-asserted-by":"crossref","first-page":"E363","DOI":"10.1097\/BSD.0000000000000218","article-title":"A multicenter evaluation of clinical and radiographic outcomes following high-grade spondylolisthesis reduction and fusion","volume":"30","author":"Gandhoke","year":"2017","journal-title":"Clin Spine Surg"},{"key":"R4-20250401","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1227\/NEU.0b013e3182535881","article-title":"Short-term complications associated with surgery for high-grade spondylolisthesis in adults and pediatric patients: A report from the scoliosis research society morbidity and mortality database","volume":"71","author":"Kasliwal","year":"2012","journal-title":"Neurosurgery"},{"key":"R5-20250401","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/1748-7161-3-19","article-title":"Reliability and development of a new classification of lumbosacral spondylolisthesis","volume":"3","author":"Mac-Thiong","year":"2008","journal-title":"Scoliosis"},{"key":"R6-20250401","doi-asserted-by":"crossref","first-page":"50","DOI":"10.14444\/2050","article-title":"Surgical treatment strategies for high-grade spondylolisthesis: A systematic review","volume":"9","author":"Passias","year":"2015","journal-title":"Int J Spine Surg"},{"key":"R7-20250401","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/j.wneu.2016.02.033","article-title":"Minimally invasive transforaminal lumbar interbody fusion for isthmic spondylolisthesis: In situ versus reduction","volume":"90","author":"Fan","year":"2016","journal-title":"World Neurosurg"},{"key":"R8-20250401","doi-asserted-by":"crossref","first-page":"53","DOI":"10.2106\/JBJS.L.01012","article-title":"Evidence-based surgical management of spondylolisthesis: Reduction or arthrodesis in situ","volume":"96","author":"Longo","year":"2014","journal-title":"J Bone Joint Surg Am"},{"issue":"Suppl 1","key":"R9-20250401","doi-asserted-by":"crossref","first-page":"S134","DOI":"10.1007\/s00586-012-2230-2","article-title":"In situ fusion or reduction in high-grade high dysplastic developmental spondylolisthesis (HDSS)","volume":"21","author":"Martiniani","year":"2012","journal-title":"Eur Spine J"},{"key":"R10-20250401","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.2106\/00004623-199072070-00016","article-title":"Treatment of severe spondylolisthesis by anterior and posterior reduction and stabilization. A long-term follow-up study","volume":"72","author":"Bradford","year":"1990","journal-title":"J Bone Joint Surg Am"},{"key":"R11-20250401","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1097\/00007632-199605150-00002","article-title":"An anatomic evaluation of L5 nerve stretch in spondylolisthesis reduction","volume":"21","author":"Petraco","year":"1996","journal-title":"Spine (Phila Pa 1976)"},{"key":"R12-20250401","doi-asserted-by":"crossref","first-page":"2227","DOI":"10.1097\/00007632-200110150-00014","article-title":"Clinical outcome of trans-sacral interbody fusion after partial reduction for high-grade l5-s1 spondylolisthesis","volume":"26","author":"Smith","year":"2001","journal-title":"Spine (Phila Pa 1976)"},{"key":"R13-20250401","doi-asserted-by":"crossref","first-page":"E161","DOI":"10.1097\/00007632-200203150-00019","article-title":"Partial lumbosacral kyphosis reduction, decompression, and posterior lumbosacral transfixation in high-grade isthmic spondylolisthesis: Clinical and radiographic results in six patients","volume":"27","author":"Boachie-Adjei","year":"2002","journal-title":"Spine (Phila Pa 1976)"},{"key":"R14-20250401","doi-asserted-by":"crossref","first-page":"578","DOI":"10.3340\/jkns.2015.58.6.578","article-title":"Free hand insertion technique of S2 sacral alar-iliac screws for spino-pelvic fixation: Technical note, acadaveric study","volume":"58","author":"Park","year":"2015","journal-title":"J Korean Neurosurg Soc"},{"key":"R15-20250401","doi-asserted-by":"crossref","first-page":"E2","DOI":"10.3171\/foc.2001.10.4.3","article-title":"Biomechanics of bone fusion","volume":"10","author":"Kowalski","year":"2001","journal-title":"Neurosurg Focus"}],"container-title":["Journal of Craniovertebral Junction and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_166_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:52Z","timestamp":1786647292000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_166_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jcvjs.jcvjs_166_24","relation":{},"ISSN":["0974-8237","0976-9285"],"issn-type":[{"value":"0974-8237","type":"print"},{"value":"0976-9285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-10-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}