Výzkum vlivu charakteristik úhlu facetového kloubu na rozvoj lumbální spinální stenózy u pacientů se stenózou bederního kanáluPůvodní práce

A. EROĞLU, M. ATAR, M. SAPANCI, C. ATABEY

Acta Chir Orthop Traumatol Cech. 2023; 90(6):383-390 | DOI: 10.55095/achot2023/046

Objectives The aim of our study was to investigate facet tropism and its impact on the development of lumbar spinal canal stenosis (LSCS) in patients with LSCS. Materials and Methods Bilateral facet joint angles at the L3-4, L4-5, and L5-S1 levels were measured on axial plane in the lumbar magnetic resonance imaging (MRI) scans of 82 patients aged between 32 and 75 with LSCS, and 82 healthy individuals aged between 30 and 66 without LSCS, who were considered as the normal group. Results Both groups in our study consisted of both males and females. The mean age was 51.4 for patients with LSCS and 44.7 for the healthy group, with no significant difference...

Fraktury femuru u dětí do dvou let. Pomýšlíme na možnost týrání?Původní práce

E. Popelová, M. Svatková, J. Přidal, J. Kotaška, M. Kynčl, V. Havlas

Acta Chir Orthop Traumatol Cech. 2023; 90(6):375-382 | DOI: 10.55095/achot2023/045

Purpose of the study The primary aim is to assess the proportion of children younger than two years with a femoral fracture who underwent a skeletal survey. The secondary aim of the study is to evaluate the patients' demographics, reported trauma mechanism, type of fracture, type of treatment and complication rate. Material and methods This was a retrospective study of children younger than two years examined at the Department of Imaging Methods for a femoral fracture between 2015-2022. The type and site of the fracture were assessed on radiographs. The patients' medical records were used to assess which steps had been taken to evaluate for possible...

Vyhodnocení klinických výsledků metody implantace solidního chondrograftu v léčbě chondrálních lézí kolenního kloubu po více než 10 letechPůvodní práce

J. ŠIMURDA, P. VALIŠ, M. ROUCHAL, J. NOVÁK, T. OTAŠEVIČ

Acta Chir Orthop Traumatol Cech. 2023; 90(6):369-374 | DOI: 10.55095/achot2023/044

PURPOSE OF THE STUDY The authors present the outcomes of more than ten-year clinical follow-up of patients who underwent surgical treatment of deep chondral defect of the knee (medial or lateral condyle). The method of treatment was the implantation of autologous cultured chondrocytes in the form of a solid chondral graft. The aim was also to compare the mid-term and long-term outcomes and to evaluate how the knee condition affects the everyday life and sports activities more than 10 years after surgery. MATERIAL AND METHODS Thirty patients of the total of 56 patients (26 patients dropped out of the long-term follow-up) operated in the period between...

Jednovaječná dvojčata s morbus Legg-Calvé-Perthes a neidentickou lumbosakrální malformací: kazuistika a přehled literaturyKazuistika

M. HRUBÁ, P. BÁRTA, V. DŽUPA, M. KRBEC

Acta Chir Orthop Traumatol Cech. 2023; 90(5):353-357 | DOI: 10.55095/achot2023/043

The authors present the cases of monozygotic male twins with right-sided Legg-Calvé-Perthes disease (LCPD) with different formation of the lumbosacral junction. This is likely the first description of a lumbosacral junction formation disorder associated with identical twins who were both treated for LCPD as children. The disease began at 6 and 9 years of age and during treatment as well as in adulthood significantly different bone formation of the lumbosacral transitional vertebra, was observed in both brothers. Twin A has a unilateral right-sided fusion of the enlarged L5 transverse process with the ipsilateral sacral ala, twin B has a complete sacralization...

Biomarkery, které mohou předoperačně predikovat diagnózu poranění předního zkříženého vazu na MR obrazuPůvodní práce

F. SOY, O. PEHLIVAN, B. OKTAŞ, M. ÇIRPAR

Acta Chir Orthop Traumatol Cech. 2023; 90(5):347-352 | DOI: 10.55095/achot2023/042

Purpose of the study The competence of the anterior translation of tibia (ATT), posterior cruciate ligament angle (PCLA), and femorotibial rotation angle (FTRA) measured on MR images in predicting anterior cruciate ligament (ACL) injury was evaluated in this study. Material and methods 266 patients who underwent diagnostic arthroscopy between 2015-2020 were included in this study. Age, gender, radiological findings included ATT, PCLA, and FTRA were measured on preoperative MR images of all patients. Results ACL tear was detected in 143 of patients and most of them were younger males. In ACL-R group, the ATT was 7 mm (-4-17 mm), PCLA value was 110º...

Nová metoda pro detekci stadia artrózy a femoroacetabulárního impingementu s využitím gyroskopického senzoru a neuronových sítíPůvodní práce

P. HOLEKA, F. STUDNIČKA, J. ŠTĚPÁN, J. MATYSKA, J. ŠLÉGR, J. PÁRAL, K. ŠMEJKAL, P. LOCHMAN

Acta Chir Orthop Traumatol Cech. 2023; 90(5):340-346 | DOI: 10.55095/achot2023/041

Purpose of the study Femoroacetabular impingement syndrome is a complex, often post-traumatically developing impairment of the hip joint, characterized by ambiguous symptomatology, which makes early diagnosis difficult, especially in the early stages. Experimental retrospective study was carried out to evaluate the usability of a triaxial gyroscopic sensor in routine practice as an additional indication criterion for operative versus conservative treatment procedures. MATERIAL AND METHODS 92 patients were included in the retrospective study, and 62 completed the investigation. All patients signed informed consent. A gyroscopic sensor was placed on...

Optimalizace techniky interpoziční artroplastiky při proximální karpektomii s ohledem na vaskularizaci dorzální kapsuly karpu: kadaverózní studiePůvodní práce

L. VINTER, P. DRÁČ, M. DOBIÁŠ, M. OŠŤÁDAL, I. ČIŽMÁŘ, I. OLECKÁ

Acta Chir Orthop Traumatol Cech. 2023; 90(5):335-339 | DOI: 10.55095/achot2023/040

PURPOSE OF THE STUDY The study aimed to propose an optimal based flap creation with the view to ensure long-term survival of the interposition arthroplasty. MATERIAL AND METHODS A total of 28 dorsal wrist capsules were collected from 16 cadavers (with age range at death 18 to 80 years, with no visible wrist pathology). Altogether 112 histological specimens were obtained from these 28 samples. Post-hoc Dunn's tests were used to analyse the percentage of vascularisation of individual sides of the dorsal capsule (circumference and area) at the 0.05 level of significance. Spearmann's correlation analysis was used to assess the effect of age on vascularization...

Miniinvazivní osteosyntéza zlomenin patní kosti anterolaterální úhlově stabilní dlahouPůvodní práce

V. BÁBA, L. KOPP, P. OBRUBA

Acta Chir Orthop Traumatol Cech. 2023; 90(5):329-334 | DOI: 10.55095/achot2023/039

PURPOSE OF THE STUDY Extended lateral approach to calcaneus fractures is associated with a high risk of infection. Such risk can be reduced by using mini-invasive approaches. The sinus tarsi approach provides a good overview of the posterior joint facet of the calcaneus and can also be done as a mini-invasive procedure. The authors present their first experience with osteosynthesis of joint depression calcaneal fractures using the anterolateral locking plate inserted through the sinus tarsi approach. MATERIAL AND METHODS During the period from 1 February 2020 to 31 January 2022, 18 patients were treated by the anterolateral locking plate in the authors'...

Pelvic Ring Fractures - in extremis PatientsPůvodní práce

K. ŠMEJKAL, J. ŠIMEK, J. TRLICA, J. KOČÍ, J. PÁRAL

Acta Chir Orthop Traumatol Cech. 2023; 90(5):323-328 | DOI: 10.55095/achot2023/038

Purpose of the study This study aims to analyse a subpopulation of patients with severe haemorrhagic shock and a concurrent unstable pelvic ring fracture. Material and methods This manuscript is a retrospective study of prospectively collected data on trauma patients over a period of 10 years, namely between 2010 and 2019. These patients, primarily (after injury) referred to the trauma centre of the University Hospital Hradec Králové, were diagnosed with an unstable pelvic ring fracture as a part of multiple injuries. Results The total number of patients with a pelvic ring fracture and concurrent acute phase of decompensated haemorrhagic shock in...

Efekt vzdálených ischemických podnětů na thiol-disulfidovou rovnováhu u TP kolena: randomizovaná kontrolovaná studiePůvodní práce

M. N. ARIKAN, M. YILDIZ, Z. SEN, O. EREL, M. S.TUTAR, Y. TIRE, R. KAPLEVATSKY, B. KOZANHAN

Acta Chir Orthop Traumatol Cech. 2023; 90(5):314-322 | DOI: 10.55095/achot2023/037

Purpose of the study The purpose of this study was to minimize tourniquet-induced ischemia-reperfusion injury (IRI) in total knee arthroplasty (TKA) surgery using the remote ischemic preconditioning (RIPC) model, as well as to assess antioxidant balance with thiol-disulfide homeostasis (TDH). The secondary goal is to evaluate the impact of RIPC on TKA clinical outcomes. Material and Methods Patients in the ASA I-III group who underwent elective TKA were enrolled in this prospective, randomized, double-blind clinical research. TDH parameters were measured individually in groups with (Group I) and without (Group K) RIPC at the following times: preoperative...

Biomechanické porovnání techniky plastiky acetabula pomocí schodovitě opracovaného štěpu s technikou masivního kostního štěpu u TP kyčle po dysplazii: analýza konečných prvkůPůvodní práce

L. ZHANG, R. ALKENTAR, S. MANÓ, J. SZABÓ, T. MANKOVITS, Z. CSERNÁTONY

Acta Chir Orthop Traumatol Cech. 2023; 90(5):301-313 | DOI: 10.55095/achot2023/036

PURPOSE OF THE STUDY Different techniques have been reported to reconstruct the deficient acetabulum during total hip arthroplasty (THA). The purpose of this study was to compare the biomechanical features of the bulk bone graft (BBG) technique (Harris acetabular plasty) and the Roof Step Cut (RSC) technique using finite element analysis. MATERIAL AND METHODS Based on a female patient's dysplastic hip CT scan, 3D models were assembled according to the two techniques. For the Harris technique, an irregular BBG was sculpted from a solid sphere, while for the RSC technique, the graft was sculpted into a step-cut shape with a similar size. Each graft was...

Splenektomie transdiafragmatickyKazuistika

J. CHUDÁČEK, D. KLOS, M. GREGOŘÍK

Acta Chir Orthop Traumatol Cech. 2023; 90(4):288-290 | DOI: 10.55095/achot2023/035  

The spleen is one of the most commonly injured organ in blunt traumas to the chest and abdomen. Splenic injury can be a serious complication of fracture of the left 9^th to 11^th rib. The authors present a case report of a 65-year-old male patient with a blunt trauma to the left chest and abdomen, dia­gnosed with multiple left rib fractures, left hemothorax and splenic injury with a small subcapsular hematoma with no signs of active splenic bleeding. Due to hemodynamic instability and a large volume of blood loss via the chest drain, the patient was indicated for emergency left thoracotomy. A perforation in the lower lobe of the...

Akutní traumatická hernie intervertebrálního diskuKazuistika

J. SOUKUP, J. ČERNÝ, T. NOVOTNÝ

Acta Chir Orthop Traumatol Cech. 2023; 90(4):283-287 | DOI: 10.55095/achot2023/034  

Acute traumatic intervertebral disc herniation of the thoracic spine is a rather rare injury with only a few reported cases to date. In this manuscript, we present a case of a 58-year-old male patient who sustained a car accident-related high-energy trauma, resulting in a disc herniation of the thoracic spine. Furthermore, we also discuss the possible implications of late diagnosis of such condition. The patient was initially referred from the Emergency Department as a case of head contusion with a left upper limb paresis. Due to only minimal bony trauma visible on the initial spine CT scan, the neurological deficit was attributed to the cranial trauma....

Krátkodobé výsledky s totální endoprotézou kořenového kloubu palce Touch®Původní práce

D. Filuś, R. Pavličný

Acta Chir Orthop Traumatol Cech. 2023; 90(4):277-282 | DOI: 10.55095/achot2023/033  

Purpose of the study Rhizarthrosis, a degenerative condition of the carpometacarpal joint of the thumb, affects mainly women. Surgical treatment is indicated once the non-operative treatment fails. Thumb carpometacarpal joint total arthroplasty constitutes one of the surgical treatment options. This study aims to evaluate the short-term functional and radiological outcomes of Touch® prosthesis with a minimum follow-up period, namely two years after surgery. Material and methods The study presents the outcomes of a group of 56 endoprostheses implanted in 48 patients. The dual mobility Touch® prosthesis is evaluated....

Protizánětlivý efekt miR-140-3p v BMSCs-exosomech na osteoartrózuPůvodní práce

Y. HU, H.X. LIU, D. XU, X. XUE, X. XU

Acta Chir Orthop Traumatol Cech. 2023; 90(4):267-276 | DOI: 10.55095/achot2023/032  

Purpose of the Study Articular cartilage injury is a common disease in daily life, with a high incidence. The aim of this study was to investigate the effect and mechanism of miRNA-140-3p in bone mesenchymal stem cells (BMSCs)-derived exosomes under hypoxia on inflammatory articular chondrocytes. Material and Methods To simulate the pathological status of arthritis, rat chondrocytes were used to establish the osteoarthritis (OA) model by IL-1β (10 μg/ml) as a modulating in vitro, and exosomes were isolated by differential ultra-high speed centrifugation. The cell counting kit-8, wound healing and flow cytometry...

Spolehlivost Ellmanovy klasifikace u parciální ruptury rotátorové manžety na MR zobrazeníPůvodní práce

G. ILYAS, O. GOKALP

Acta Chir Orthop Traumatol Cech. 2023; 90(4):259-266 | DOI: 10.55095/achot2023/031  

Purpose of the Study The current study aimed to investigate the intra- and inter-observer reliability of the Ellman classification system in partial-thickness rotator cuff tears through magnetic resonance imaging (MRI) scans instead of arthroscopic views. Material and Methods Pre-operative MRI scans of 45 patients, with confirmed partial-thickness rotator cuff rupture in previous arthroscopic surgeries (performed by the senior author), were obtained from Picture Archiving and Communication Systems records. The observers (n=8) were asked to categorize MRI scans according to Ellman's classification of location and grade....

Totální náhrada prvního metatarzofalangeálního skloubení Medin PH-Flex a její vliv na biomechaniku přednoží v propulzní fázi krokového cykluPůvodní práce

S. POPELKA ML., V. BARTÁK, M. MAZURA, J. KLOUDA, I. LANDOR, R. HROMÁDKA

Acta Chir Orthop Traumatol Cech. 2023; 90(4):251-258 | DOI: 10.55095/achot2023/030  

Purpose of the studyTotal arthroplasty of the first metatarsophalangeal joint is one of the surgical treatment options for patients with advanced hallux rigidus. This study evaluates the pressure changes in the propulsion phase of the gait cycle using dynamic pedobaro­graphy after the total arthroplasty of the first metatarsophalangeal joint by Medin PH-Flex and their comparison with the control groups of patients with hallux rigidus and with asymptomatic patients. Material and methods Dynamic pedobarograph was used to evaluate 15 first MTP joint replacements by Medin PH-Flex implants in 12 female patients, the average...

Jak ovlivňuje typ luxace TEP kyčle výsledek léčby? Analýza souboru pacientů za období 1999-2020Původní práce

J. Špička, J. Gallo, K. Langová

Acta Chir Orthop Traumatol Cech. 2023; 90(4):239-250 | DOI: 10.55095/achot2023/029  

Purpose of the studyDislocation is one of the most common early complications of total hip arthroplasty (THA). In this manuscript, 20 years of experience with the management of this complication are presented, particularly in relation to the type of instability. Material and Methods In the period between January 1999 and December 2020, at least one dislocation occurred in 157 of 8 286 (1.9%) THA patients, of which 117 dislocations (1.6%) in primary and 40 (3.4%) in revision THAs. Almost all patients were operated on from the anterolateral approach during the follow-up period. The type of dislocation was evaluated using...

Komplexní analýza vědeckých výstupů artroskopie kyčle a kolenaPůvodní práce

M. A. WOLF, D. MILLENAAR, P. WINTER, F. MAHFOUD, S. LANDGRAEBER

Acta Chir Orthop Traumatol Cech. 2023; 90(4):233-238 | DOI: 10.55095/achot2023/028  

Purpose of the study A global bibliometric comparison of the level of scientific interest and output in the two research areas hip and knee arthroscopy (H-ASC and K-ASC) was carried out. In addition, the different degrees of publication activity in the countries and institutes performing this research were investigated. Material and methods Publications from 1945-2020 listed in the Web of Science Core Collection were included in the study. Using the web application Science Performance Evaluation (SciPE), quantitative and qualitative aspects were evaluated. Subsequently, the date of publication, author information, and...

Zápis z jednání Výboru ČSOT s primáři ortopedických pracovišť (Brno, 17. 5. 2023)Zprávy z ČSOT

Acta Chir Orthop Traumatol Cech. 2023; 90(3):222  

Zápis ze schůze Výboru ČSOT konané dne 17. 5. 2023 v Hotelu International BrnoZprávy z ČSOT

Acta Chir Orthop Traumatol Cech. 2023; 90(3):221-222  

Životní jubileum prof. MUDr. Antonína Sosny, DrSc., emeritního přednosty I. ortopedické kliniky 1. LF UKZprávy z ČSOT

Acta Chir Orthop Traumatol Cech. 2023; 90(3):219-220  

Incidence a diagnostika infektu při zlomenině (FRI) a rizikové faktory jeho vzniku: tříleté zkušenosti traumacentra I. stupněPůvodní práce

J. ŘIMSA, M. DOLEŽALOVÁ HRUBÁ, J. URBAN, M. PEML, K. HOLUB, M. KLOUB

Acta Chir Orthop Traumatol Cech. 2023; 90(3):211-218 | DOI: 10.55095/achot2023/026  

PURPOSE OF THE STUDY The study aims to determine the incidence of fracture-related infection (hereinafter referred to as the FRI) at a Level I trauma centre over a three-year period. It also aimed to determine the risk factors, to observe confirmatory and suggestive criteria in line with the applicable recommendations, and to evaluate the bacterial spectrum in a diagnosed FRI. MATERIAL AND METHODS It is a retrospective-prospective study carried out through studying the documentation. The study included all patients diagnosed with FRI and treated between 2019 and 2021, except for the patients with hand fractures since minor phalangeal...

Velká antetorze femuru představuje zvýšené riziko bolesti předního kolena, zatímco dysplazie trochley je predispozicí pro luxaci patellyPůvodní práce

S. LIBICHER, E. MAURER, S. DÖBELE, C. KONRADS

Acta Chir Orthop Traumatol Cech. 2023; 90(3):206-210 | DOI: 10.55095/achot2023/024  

PURPOSE OF THE STUDY Patellofemoral stability and congruency are influenced by different parameters. Their contribution to anterior knee pain and instability is not fully understood. We investigated, if isolated femoral antetorsion of more than 25° leads to patellofemoral instability. MATERIAL AND METHODS We analyzed 90 knees in patients with patellofemoral complaints and correlated clinical and radiological characteristics. Patients presenting at our center between January 2018 and December 2020 because of patellofemoral pain or instability were included, provided that there was no previous surgical intervention done. RESULTS

Metaanalýza srovnání otevřené vs. zavřené repozice suprakondylické zlomeniny humeru typu Gartland 3 u dětíPůvodní práce

S. BARIK, V. GARG, S. K. SINHA, S. CHAUDHARY, P. KANDWAL, V. SINGH

Acta Chir Orthop Traumatol Cech. 2023; 90(3):198-205 | DOI: 10.55095/achot2023/023  

PURPOSE OF THE STUDY Although there are numerous studies on outcomes and comparison of open and closed reduction but there is no clarity on relationship between outcomes and complications with type of surgical intervention done for Type 3 Gartland supracondylar humerus fracture. The aim of this study is to compare the outcomes and complications of closed vs open reduction in Type 3 Gartland supracondylar humerus fractures. MATERIAL AND METHODS Electronic literature searches of Embase, MEDLINE and the Cochrane Library was conducted in February 2022 using the terms "supracondylar", "humerus", "fracture", "Gartland type 3" and synonymous....

Antimikrobiální účinnost nejběžnějších systémů uvolňujících antibiotika, které se používají v současné ortopedické chirurgii: in vitro studiePůvodní práce

R. ŠTÍCHA, P. FULÍN, O. NYČ, V. GAJDOŠOVÁ, D. POKORNÝ, M. ŠLOUF

Acta Chir Orthop Traumatol Cech. 2023; 90(3):188-197 | DOI: 10.55095/achot2023/027  

PURPOSE OF THE STUDY Infections of joint replacements represent one of the most serious problems in contemporary orthopedics. The joint infections treatment is usually multimodal and involves various combinations of drug delivery and surgical procedures. The aim of this study was to evaluate and compare the bacteriostatic and bactericidal properties of the most common antibiotic carriers used in orthopedic surgery: bone cements mixed with antibiotic and porous calcium sulfate mixed with antibiotic. MATERIAL AND METHODS Three commercial bone cements (Palacos®, Palacos® R+G, Vancogenx®) and commercial porous sulfate (Stimulan®)...

Sarkomy popliteální fossyPůvodní práce

O. ERDOGAN, A. ÇELİK, A. N. T. YILDIRIM, E. TEKÇE, G. ALTUN, S. DEMİRÖZ, Y. GÜLER, K. OZKAN, V. GURKAN

Acta Chir Orthop Traumatol Cech. 2023; 90(3):181-187 | DOI: 10.55095/achot2023/025  

PURPOSE OF THE STUDY Soft tissue sarcomas of the popliteal fossa are extremely rare tumors of mesenchymal origin accounting for 3%-5% of all extremity sarcomas. However, data regarding the tumor type, neurovascular involvement, and administration of radiation therapy before or after resection are limited. This study aimed to report on popliteal fossa sarcomas analyzing data from two institutions based on a relatively large patient sample. MATERIAL AND METHODS Twenty-four patients (80%; 9 men and 15 women) with a popliteal fossa soft tissue sarcoma were included in this study. The reviewed patient data included sex, age, duration of...

Vliv tranexamové kyseliny na perioperační krevní ztrátu a rozvoj hematomu v ráně u operací bederní páteře: prospektivní randomizovaná studiePůvodní práce

P. STEJSKAL, Š. TRNKA, L. HRABÁLEK, T. WANEK, J. JABLONSKÝ, V. NOVÁK

Acta Chir Orthop Traumatol Cech. 2023; 90(3):176-180 | DOI: 10.55095/achot2023/022  

PURPOSE OF THE STUDY Tranexamic acid as a haemostatic agent is commonly used in multiple medical branches. Over the last decade, there has been a steep rise in the number of studies evaluating its effect, i.e. blood loss reduction in specific surgical procedures. The aim of our study was to evaluate the effect of tranexamic acid on reducing intraoperative blood loss, postoperative blood loss into the drain, total blood loss, transfusion requirements, and development of symptomatic wound hematoma in conventional single-level lumbar decompression and stabilization. MATERIAL AND METHODS The study included patients who had undergone a...

Kompresivní zlomeniny thorakolumbální páteře u dětíPůvodní práce

J. ŠTULÍK, L. SALAVCOVÁ, T. TRČ, P. HAVRÁNEK, T. PEŠL, M. BARNA

Acta Chir Orthop Traumatol Cech. 2023; 90(3):168-173 | DOI: 10.55095/achot2023/020  

PURPOSE OF THE STUDY The study aimed to draw up a diagnosis and treatment guidelines for the management of the most common compression fractures of the thoracolumbar spine in children. MATERIAL AND METHODS Between 2015 and 2017, pediatric patients with a thoracolumbar injury aged 0-12 years were followed up in the University Hospital in Motol and the Thomayer University Hospital. The age and gender of the patient, injury etiology, fracture morphology, number of injured vertebrae, functional outcome (VAS and ODI modified for children), and complications were assessed. An X-ray was performed in all patients, in indicated cases also an MRI scan was done,...

Chirurgická léčba degenerativní lumbální stenózy a spondylolistézy: klinický doporučený postupPůvodní práce

R. KAISER, L. KANTOROVÁ, A. LANGAUFOVÁ, S. SLEZÁKOVÁ, D. TUČKOVÁ, M. KLUGAR, Z. KLÉZL, P. BARSA, J. CIENCIALA, R. HAJDÚK, L. HRABÁLEK, R. KUČERA, D. NETUKA, M. PRÝMEK, M. REPKO, M. SMRČKA, J. ŠTULÍK

Acta Chir Orthop Traumatol Cech. 2023; 90(3):157-167 | DOI: 10.55095/achot2023/021  

PURPOSE OF THE STUDY This article presents the evidence and the rationale for the recommendations for surgical treatment of degenerative lumbar stenosis (DLS) and spondylolisthesis that were recently developed as a part of the Czech Clinical Practice Guideline (CPG) "The Surgical Treatment of the Degenerative Diseases of the Spine". MATERIAL AND METHODS The Guideline was drawn up in line with the Czech National Methodology of the CPG Development, which is based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. We used an innovative GRADE-adolopment method that combines adoption and adaptation...