Management of High-Grade Spondylolisthesis

Manish K. Kasliwal, Justin S. Smith, Adam Kanter, Ching Jen Chen, Praveen V. Mummaneni, Robert A. Hart, Christopher I. Shaffrey

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


Management of high-grade spondylolisthesis (HGS) remains challenging and is associated with significant controversies. The best surgical procedure remains debatable. Although the need for instrumentation is generally agreed upon, significant controversies still surround the role of reduction and anterior column support in the surgical management of HGS. Complications with operative management of HGS can be significant and often dictate the selection of surgical approach. This review highlights the pathophysiology, classification, clinical presentation, and management controversies of HGS, in light of recent advances in our understanding of the importance of sagittal spinopelvic alignment and technologic advancements.

Original languageEnglish (US)
Pages (from-to)275-291
Number of pages17
JournalNeurosurgery clinics of North America
Issue number2
StatePublished - Apr 2013
Externally publishedYes


  • Adolescents
  • Adult spondylolisthesis
  • Classification
  • Complications
  • High-grade spondylolisthesis
  • Management
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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