Outcomes of autograft alone versus PEEK+ autograft interbody fusion in the treatment of adult lumbar isthmic spondylolisthesis

Wang, Gang; Han, Dunfu; Cao, Zheng-lin; Guan, Honggang; Xuan, Tianhang

doi:10.1016/j.clineuro.2017.01.020

Cited by 9 publications

(11 citation statements)

References 23 publications

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“… 28 – 32 In this current study, postoperative VAS pain score was not associated with type of fusion (autologous graft or cage) or the fusion techniques (fusion in situ or retraction), which was similar to the findings of previous studies. 28 – 31 These findings suggest that different types of fusion do not influence the effect of surgery. It should be noted that it was not possible to pursue complete retraction in the current study because retraction would not contribute to the surgical outcome.…”

Section: Discussionsupporting

confidence: 90%

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Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

et al. 2019

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Objective To investigate the risk factors of postoperative low back pain (LBP) following posterior lumbar interbody fusion (PLIF) surgery for low-grade isthmic spondylolisthesis (IS). Methods This retrospective study enrolled patients with IS that underwent PLIF between January 2011 and January 2016. Demographic, clinical, surgical and radiological characteristics were analysed to determine associations between these characteristics and LBP as measured using a visual analogue scale (VAS) pain score. Results A total of 192 patients were enrolled in the study. The mean VAS pain score of LBP decreased significantly after surgery. The mean preoperative VAS pain score was significantly greater in patients with symptoms of ≤3 years duration compared with those with symptoms lasting >3 years. The postoperative VAS pain score was significantly lower in patients with grade 1 slippage compared with those with grade 2 slippage. There was a significant correlation between preoperative to postoperative change of VAS pain score and postoperative disc height ( r = 0.99). Conclusion PLIF significantly improved LBP in patients with low-grade IS, although patients still reported some postoperative LBP. The grade of slippage was a risk factor for postoperative LBP. Restoring the disc height appeared to improve LBP.

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Section: Discussionsupporting

confidence: 90%

“…This result was consistent with previous studies in terms of the type of fusion. 14,28,29 The literature remains sparse regarding the risk factors of LBP after PLIF in patients with IS. In this current study, the grade of slippage was associated with the relief of LBP.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

et al. 2019

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“…Autologous bone fragments obtained at laminectomy (local autograft) are often used and have similar fusion rates but are not always available in sufficient quantity. [31][32][33][34][35]…”

Section: Resultsmentioning

confidence: 99%

“…This can be explained by the fact that we used structured iliac autograft made in the form of a cage, a factor that may have contributed to the maintenance of disc height, considering that in most cases the removed local graft is fragmented and does not provide support. Wang et al 33 compared results of the posterior arch autograft associated with a facet joint as a spacer and another group treated with a PEEK cage filled with autograft in the treatment of lumbar isthmic spondylolisthesis in adults and obtained similar clinical and radiographic results in both groups. The use of an intersomatic device in PEEK increases its cost, so a local autograft using the facet joint for intersomatic fusion was effective and accessible in the treatment of lumbar isthmic spondylolisthesis.…”

Section: Discussionmentioning

confidence: 99%

Transforaminal Intersomatic Lumbar Arthrodesis: Comparison Between Autograft and Cage in Peek

et al. 2020

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Objective: To compare the postoperative outcomes of transforaminal intersomatic lumbar arthrodesis with structured iliac bone autograft and PEEK device. Methods: The total of 93 medical records of patients undergoing transforaminal intersomatic fusion between January 2012 and July 2017 with at least 1 year of postoperative follow-up, with complete medical record, containing clinical file and radiological exams, were reviewed. Results: From the medical records evaluated, 48 patients underwent the procedure with structured iliac autograft (group 1) and 45 with PEEK device (group 2). There was an improvement in functional capacity in both groups (p < 0.001), however there was no difference when comparing them (p = 0.591). Conclusion: The postoperative clinical and radiological results of lumbar arthrodesis with TLIF technique, using a structured iliac bone autograft compared to a PEEK device, were similar. Level of Evidence II, Retrospective study.

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“…Postoperatively there were one case of displacement of an interbody spacer, two cases of L3 radiculopathy, and one case of pulmonary embolism. Wang et al (2017) conducted a retrospective analysis of the outcomes of autograft alone versus PEEK + autograft PLIF in the treatment of adult isthmic spondylolisthesis. Eighty-four patients were included in the study: 44 patients had interbody fusion performed with local autograft alone and 40 patients with autograft + 2 PEEK cages.…”

Section: Degenerative Disc Diseasementioning

confidence: 99%

Lumbar Interbody Fusion Devices and Approaches: When to Use What

McEntee

Zotti

2019

Handbook of Spine Technology

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Lumbar interbody fusion is an established surgical technique for a variety of conditions affecting the lumbar spine. A large number of interbody fusion devices made of differing materials are now available for use. Approaches for interbody fusion include anterior lumbar interbody fusion, oblique lumbar interbody fusion, lateral lumbar interbody fusion, axial lumbar interbody fusion, transforaminal lumbar interbody fusion, and posterior lumbar interbody fusion. This chapter discusses the biomechanics of lumbar interbody fusion devices and approaches and the clinical rationale and the clinical results of each approach. The advantages and disadvantages of each approach are compared and contrasted. The importance of an appropriate preoperative assessment to determine the best approach for interbody fusion is emphasized, taking into account the condition being treated, sagittal balance, bone quality, and contraindications to a specific approach. The best approach to lumbar interbody fusion by indication and surgical level(s) is discussed.

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Outcomes of autograft alone versus PEEK+ autograft interbody fusion in the treatment of adult lumbar isthmic spondylolisthesis

Cited by 9 publications

References 23 publications

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

Risk factors of postoperative low back pain for low-grade isthmic spondylolisthesis: a retrospective study

Transforaminal Intersomatic Lumbar Arthrodesis: Comparison Between Autograft and Cage in Peek

Lumbar Interbody Fusion Devices and Approaches: When to Use What

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