Functional Outcome Of Spondylolisthesis Treated By Transforaminal Lumbar Interbody Fusion With Cage And Pedicular Screw Fixation – A Prospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Background: Spondylolisthesis when symptomatic is treated by a variety of fusion techniques, the two commonest being posterior lumbar interbody fusion and transforaminal lumbar interbody fusion. The purpose of this study is to evaluate the functional outcome of spondylolisthesis treated by transforaminal lumbar interbody fusion with cage and pedicular screw fixation. Materials and methods: 30 patients of spondylolisthesis who underwent transforaminal lumbar interbody fusion with cage and pedicular screw fixation between September 2013 and June 2015 were included in this prospective study. The pre-operative and post-operative functional outcomes at the end of 1 year were assessed using Oswestry Disability Index (ODI) and p value calculated. Results: Out of the 30 patients included in the study, female-male ratio of 2:1 was observed. The mean age of the patients was 49.13 years (range 36-65 years). Twenty three patients (76.7%) had Grade I spondylolisthesis and 7 (23.3%) had Grade II spondylolisthesis. The mean operation time was 143.33 minutes (range 110-240 minutes) with a mean blood loss of 300 ml (range 150-500 ml). The average follow-up was 8.1 months (range 6-20 months). The mean ODI score pre-operatively was 31.46% (range 25-42%) and post-operatively 16.9% (range 10-28%). 3 patients developed intermediate complications with no long term effects. Excellent results were noted in 21 (70%) patients, good results in 8 (26.66%) and fair result in 1 (3.33%) patient. P value was found to be highly significant. Conclusion: Transforaminal lumbar interbody fusion with cage and pedicular screw fixation is an effective treatment option for spondylolisthesis with high fusion rates and minimal postoperative morbidity.
Authors and Affiliations
Latchoumibad K, Pragash M, Prashanth P
Keywords
Related Articles
- EP ID EP394726
- DOI -
- Views 140
- Downloads 0
Posterolateral Corner Injuries With Associated Ligament Injuries Of The Knee: A Retrospective Study
Background: Posterolateral corner of knee consists of a number of static and dynamic restraints. Static restraints are the lateral collateral ligament, arcuate ligament, fabellofibular ligament, popliteofibular ligament,...
Evaluation of correlation between cervical rib and cervical plexopathy: a prospective study of clinical and radiological diagnosis, management and outcomes
Introduction: A prospective study was conducted in the department of Orthopaedics & Traumatology in D.Y Hospital, Navi Mumbai from November 2014 to October 2016 to evaluate the correlation between cervical rib and cervi...
A Follow Up Study To Evaluate The Management Of Factures Of Both Bones Of Forearm In Adults Using Locking Compression Plate
Background: The fractures of either or both bones forearm are one of the commonest fractures requiring surgical intervention in adults. The advent of locking compression plate has revolutionised the treatment of diaphyse...
Management Of Penetrating Injury To The Angle Of Mandible Region Caused By Airgun
Penetrating injuries to the maxillofacial region are life-threatening and deserves emergency management under detailed evaluation of the site. Early diagnostic workup to localize the site of the pellet and early explorat...
Evaluation Of Ultrasound And CT Findings In Conjunction With Its Comparison In Pancreatitis And Its Complications
OBJECTIVE- The study aims to evaluate the spectrum of findings and compare the role of ultrasonography (US) and CECT in evaluation of pancreatitis and its complications. MATERIALS AND METHODS: Fifty patients with clinica...