2018 AANS Annual Scientific Meeting-Sonntag Lecture: Evolving Concepts of Degenerative Spondylolisthesis

Sonntag Lecture: Evolving Concepts of Degenerative Spondylolisthesis

Video Transcription

Video Summary

In the video, Dr. Dan Resnick discusses the topic of degenerative spondylolisthesis. He talks about the need to improve the quality of spine care, not only for spondylolisthesis but also for other fields of neurosurgery and spine surgery. He discusses the variability in the performance of lumbar fusions based on the county of residence and how this has led to questions about the indications for surgery. He criticizes the use of patient satisfaction scores as a measure of quality of care, stating that they are useless, expensive, misleading, manipulatable, and dangerous. He suggests that patient-reported outcomes should be used instead. Dr. Resnick then discusses the classification systems for spondylolisthesis and how they need to be updated to better guide therapy. He introduces the Wisconsin Spondylolisthesis Surgical System (WSS system) that incorporates various factors to help make decisions about fusion vs. non-fusion surgeries for spondylolisthesis. The video concludes with a mention of an ongoing reliability study for the WSS system.

Asset Caption

Daniel K. Resnick, MD, FAANS

Keywords

degenerative spondylolisthesis

spine care

lumbar fusions

patient-reported outcomes

classification systems

Wisconsin Spondylolisthesis Surgical System