The Gill's procedure is a less invasive surgical technique in the treatment of patients with leg pain due to low-grade spondylolytic spondylolisthesis. This technique can be considered as an alternative to instrumented fusion in selected cases.

2008年9月28日 · We present the design of a randomised controlled trial on cost-effectiveness of decompression according to Gill versus instrumented spondylodesis. All patients (age between 18 and 70 years) with sciatica or neurogenic claudication lasting more than 3 months due to spondylolytic spondylolisthesis grade I or II, are eligible for inclusion.

Laminectomy of S1 was then performed for exposure of the S1–S2 interspace. The dural sac was retracted toward the midline between the S1 nerve root and the S2 pedicle to reveal the entry site. Under fluoroscopic control, a guidewire was advanced from this entry point through S1 and across the lumbosacral disc space into the L5 vertebral body.

2024年7月14日 · Adult Isthmic Spondylolisthesis is a common adult spinal condition characterized by subluxation of one vertebral body anterior to the adjacent inferior vertebral body, caused by a defect in the pars interarticularis. Diagnosis is made with lateral radiographs. Flexion and extension lateral lumbar radiographs can identify the degree of instability.

2021年6月20日 · Inspection of the posterior lamina that was removed from a L5 Gill laminectomy during L5S1 fusion surgery

2024年7月1日 · The Gill laminectomy involves complete removal of the posterior elements of L5 and both articular facets. Because of the incompetent pars in type IIa slips, this can be...

2017年10月12日 · We recommend full decompression (Gill type laminectomy) prior to any active reduction attempt. Special attention should be turned to removing all “Gill fragment” pieces from the foramen and ensuring full decompression of the exiting nerve root; i.e., in a case of L5-S1 isthmic spondylolisthesis, we focus our attention to obtaining full ...

HGS is a severe deformity most commonly affecting L5-S1 vertebral segment. Treatment available for HGS includes a range of different surgical options: full or partial reduction of translation and/or abnormal alignment and in situ fusion with or without decompression.

2017年5月22日 · For all reductions of Meyerding Grade III spondylolistheses, our preferred method is to perform a Gill laminectomy to allow access to the cauda equina and nerve roots . Additionally, it allows for the use of this bone for bone graft in preparation for the fusion bed.

Deformity progression is very common following in-situ fusion, with increased risk with larger initial slip angles, postsurgical immobilization, and use of the Gill laminectomy technique. 9 Fusion without Gill laminectomy is associated with high-grade slips, neurological deficits, and higher risk of degenerative deformity proximal to the fusion ...