Functional outcome of transforaminal lumbar interbody fusion for lytic and degenerative spondylolisthesis

Khan, Raship; Mandice, C Joney; Anandan, Heber

doi:10.22271/ortho.2018.v4.i3c.30

Cited by 2 publications

(2 citation statements)

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“…Our results are agreeing with the results of Bisar et al [26] who discovered that the preoperative VAS for back pain was 9.6 ± 0.9 and the major postoperative score was 1.53 ± 1.126 as well as the preoperative and postoperative VAS scores for leg pain were 9.06 ± 0.7 and 2.0 ± 1.14 respectively with 87,3% reporting good to great results. Additionally, the study of Khan et al [27] reported that TLIF for DS clinical assessment was based on VAS, with the mean preoperative VAS for back pain improving to 2 and the mean preoperative VAS for leg pain improving to 1 (0-5). Another study by Omidi-Kashani et al [28] found that, mean VAS (leg or back) improvement was comparable between the two groups, and cage application was unable to demonstrate a greater therapeutic impact.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Transpedicular Fixation with and without Interbody Fusion Cage in Management of L4-L5 Lumbar Degenerative Spondylolisthesis

2024

The Egyptian Journal of Hospital Medicine

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Background: Lumbar degenerative spondylolisthesis (LDS) is a clinically symptomatic degenerative slippage of a lumbar vertebra relative to the neighboring vertebra below. Objective: T h i s s t u d y a i m e d t o compare clinical and radiological outcomes following management of L4-L5 LDS with and without interbody fusion cage. Patients and methods: This prospective study included 40 patients with degenerative spondylolisthesis who were surgically treated by transpedicular screws with and without interbody fusion cage at the Neurosurgery Department, Faculty of Medicine, Menoufia University over a 3-year period from January 2018 to 21 January 2021.The patients were divided into two equal groups: Group A that involved patients treated by transpedicular screws only, and group B that included patients treated by transpedicular screws and inter body fusion cage. Results: Post-operative follow-up fusion was significantly higher among group B (17.01 ± 0.06) than a m o n g group A (15.01 ± 0.06) with a mean difference of 11.75% (p<0.001). On contrast, pseudoarthrosis and slip percentage were significantly increased among group A than among group B with a mean difference of 66.44% and 118%, respectively (p<0.001). VAS (low back pain and leg pain) significantly improved post-treatment compared to pretreatment among group A (p<0.001) where it was decreased from 8.01 ± 0.06 and 7.01 ± 0.06 to1.51 ± 0.06 and1.61 ± 0.06, with a mean change of 5.57 ± 2.31, (95%CI, 4.49-6.65); and 4.64 ± 1.88 (95%CI, 3.77-5.52) respectively, (p<0.001). Also, among group B, VAS (low back pain and leg pain) significantly improved post-treatment compared to pretreatment (p<0.001) where it was decreased from 7.01 ± 0.06 and 9.01 ± 0.06 to 2.01 ± 0.06 and 2.41 ± 0.06 respectively with a mean change of 4.84 ± 1.14 (95% CI, 4.32-5.36), and 6.21 ± 1.55 (95% CI, 5.50-6.91) respectively (p<0.001). Conclusion: Transpedicular fixation by screws with and without interbody fusion produces the same outcomes in terms of postoperative clinical improvement and patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Comparative Study of Transpedicular Fixation with and without Interbody Fusion Cage in Management of L4-L5 Lumbar Degenerative Spondylolisthesis

2024

The Egyptian Journal of Hospital Medicine

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“…The study concluded that TLIF is an effective and safe operation regarding lytic and DS treatment. Khan et al, 35 undertook a study to assess the clinical & radiological outcomes of subjects who experienced TLIF with an interbody cage for spondylolisthesis. In 28 cases, the major pathology was lytic listhesis, whereas 17 had degenerative listhesis.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study on the Effectiveness of Posterolateral Fusion vs. Interbody Fusion in Isthmic/Degenerative Spondylolisthesis

Syed Ahmad Faizan,

Mudassir Masaud,

Zubair Mustafa Khan

et al. 2023

Pak J Neurol Surg

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Objective: To compare the effectiveness of posterolateral fusion versus transforaminal lumbar interbody fusion in degenerative/isthmic spondylolisthesis in terms of postoperative pain and postoperative complications. Materials & Methods: A quasi-experimental study was conducted and 74 patients were included. Group A (n=37) patients underwent PLF, whereas Group B (n = 37) patients underwent TLIF. The pain was assessed with a visual analog scale (VAS), and for disability, the Oswestry Disability Index (ODI) was used. Results: In Group-A, pre- and post-op back pain mean scores were 3.86 & 0.78, leg pain mean scores were 1.32 & 0.54 while ODI mean scores were 22.51 & 8.59, respectively(P ? 0.05). In Group B, pre- and post-op back pain mean scores were 3.41 & 0.46, leg pain mean scores were 0.84 & 0.30 and ODI mean scores were 19.89 & 6.59, respectively (P > 0.05). The prevalence of minimal disabilities in the TLIF (73%, 78%, 81%, 86%, & 91%) group was relatively more than in the PSF (70%, 75%, 78%, 81%, & 86%) group during pre-op, and post-op phases (2 & 6 weeks, 3 & 6 months). Relatively more patients (8.1% vs. 5.4%) with moderate disability were found in the PSF group as compared to the TLIF group. Conclusion: The study concluded that TLIF is a safe and more effective procedure than PLF for isthmic/degenerative spondylolisthesis. It is a better surgical procedure for post-operative back pain, leg pain, complications, and disability.

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Functional outcome of transforaminal lumbar interbody fusion for lytic and degenerative spondylolisthesis

Cited by 2 publications

References 0 publications

Comparative Study of Transpedicular Fixation with and without Interbody Fusion Cage in Management of L4-L5 Lumbar Degenerative Spondylolisthesis

Comparative Study of Transpedicular Fixation with and without Interbody Fusion Cage in Management of L4-L5 Lumbar Degenerative Spondylolisthesis

Comparative Study on the Effectiveness of Posterolateral Fusion vs. Interbody Fusion in Isthmic/Degenerative Spondylolisthesis

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