Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

ISSN:1897-2276
e-ISSN: 2449-9145

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Comparative study of posterolateral fusion versus combination of posterolateral and posterior lumbar interbody fusion in spondylolisthesis treated with posterior decompression and pedicle screw fixation

Author(s): Ranbir Singh Bawa, G Jagdish, Rohit Bansal, Raghbir Singh Bawa, Jasmine Kaur, Navjot Kaur

Background: Spondylolisthesis is defined as forward slippage of cephalad vertabra on a caudal vertebra. It is a combination of 2 greek words-Spondylos (Vertebra) and Olisthanein (to slip or fall).Spondylolysis is the most common cause of low back pain in adolescents and about 15% to 25% of patients of spondylolysis will ultimately develop spondylolisthesis. Methods: The study was conducted to compare the Clinical and the Functional outcome of Posterolateral fusion versus combination of Posterolateral and Posterior lumbar interbody fusion in spondylolisthesis treated with posterior decompression and pedicular screw fixation performed between March 2015 and March 2016,first 13 patients consecutive patients underwent Posterolateral Fusion (PLF) while last 13 patients underwent combination of posterolateral fusion and Posterior Lumbar Interbody Fusion(PLIF). The clinical outcome was evaluated according to the Visual Analogue Scale (VAS) and functional outcome was evaluated according to Oswestry Disability Index (ODI). Results: Maximum patients were in age group of 51-60 years in both groups with mean age of presentation being 47.3 years. . Low backache was the most common symptom being present in 100% of patients. Radicular pain and claudication were the next most common symptoms. This study shows that in group 2 where patients were treated with combination of PLIF and PLF 76.9% of patients had Grade 2 fusion while only 38.5% of patients in group 1 had Grade 2 fusion (p=0.025) .ODI and VAS also improved more in group 2 and this difference was statistically significant (p<.001). Conclusion: Combination of posterolateral and posterior lumbar interbody provides good clinical,functional and radiological outcome with less complications as compared PLF alone


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Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
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