Comparison of Transpedicular Fixation with Fusion with Transpedicular Fixation Alone in Spondylolisthesis
DOI:
https://doi.org/10.36552/pjns.v28i1.952Keywords:
Fusion procedures, Lumbar SpineAbstract
Objective: This research evaluated the clinical outcomes of two surgical methods used to treat degenerative lumbar spondylolisthesis in the short term. Fixation through the pedicles with or without inter-body fusion. Utilizing a spinal cage for first- and second-degree condition patients is one of the two methods being compared.
Materials & Methods: A total of 28 individual lumbosacral spondylolisthesis were incorporated in the research. Based on the surgical method and fixation technique employed for their care, they were split into two groups at random. Posterolateral intertransverse bone fusion, transpedicular screw fixation, and posterior lumbar decompression operations were performed on Group A. Conversely, Group B underwent posterolateral interbody fusion via the implantation of interbody cages, transpedicular screws, and posterior decompression.
Results: There existed no statistically significant association in terms of the two groups that is intraoperative and postoperative complications, clinical outcomes, and patient satisfaction, while noteworthy significance was observed about blood loss and rates of post-operative fusion.
Conclusion: Incorporating a spinal implant in conjunction with transverse body fusion results in superior fusion rates and post-operative clinical improvements, while intertransverse bony fusion alone yields comparable patient satisfaction with reduced surgical times.
References
Vogt MT, Rubin D, Valentin RS, et al. Lumbar olisthesis and lower back symptoms in elderly white women: the study of osteoporotic fractures. Spine. 2003;23:2640-7.
Koslosky E, Gendelberg D. Classification in brief: the Meyerding classification system of spondylolisthesis. Clinical orthopaedics and related research. 2020;478(5):1125.
Kalichman L, Kim DH, Li L, et al. Spondylolysis and spondylolisthesis: prevalence and association with low back pain in the adult community-based population. Spine. 2009; 34(2):199-205.
Chung CC, Shimer AL. Lumbosacral spondylolysis and spondylolisthesis. Clinics in Sports Medicine. 2021;40(3):471-90.
Min JAA, Hadenspeck KA and Schultz AB: Posterior element loads in lumbar motion segments. Spine. 2007;8:331-7.
Wein stein, Mummaneni P and Haid R. Current Treatment Strategies for the Painful Lumbar Motion Segment: Posterolateral Fusion Versus Interbody Fusion. Spine. 2007;30:33-43.
Austevoll IM, Hermansen E, Fagerland MW, Storheim K, Brox JI, Solberg T, Rekeland F, Franssen E, Weber C, Brisby H, Grundnes O. Decompression with or without fusion in degenerative lumbar spondylolisthesis. New England Journal of Medicine. 2021;385(6):526-38.
Ye YP, Xu H, Chen D. Comparison between
posterior lumbar interbody fusion and posterolateral fusion with transpedicular screw fixation for isthmic spondylolithesis: a meta-analysis. Archives of orthopaedic and trauma surgery. 2013;133:1649-55.
Ghogawala Z, Dziura J, Butler W.E, et al. Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis. N Engl Med 2016;374:1424-34.
Jacobsen S, Sonne-Holm S, Rovsing H, et al. Degenerative Lumbar Spondylolisthesis: An Epidemiological Perspective. The Copenhagen Osteoarthritis Study. Spine. 2007;32:120–5.
Kim JS, Kim DH, Lee SH, et al. Comparison study of the instrumented circumferential fusion with instrumented anterior lumbar. World Neurosurg. 2010;73:565-571.
Liu X-Y, Qiu G-X, Weng X-S, et al. What is the Optimum Fusion Technique for Adult Spondylolisthesis—PLIF or PLF or PLIF Plus PLF? A Meta-analysis From 17 Comparative Studies. Spine. 2014;39(22):1887-98.
Delawi D, Dhert WJ, Castelein RM, Verbout AJ, Oner FC. The incidence of donor site pain after bone graft harvesting from the posterior iliac crest may be overestimated: a study on spine fracture patients. Spine. 2007;32(17):1865-8.
Rezk EMA, Elkholy AR and Shamhoot EA. Transforaminal lumbar interbody fusion (TLIF) versus posterior lumbar interbody fusion (PLIF) in the treatment of single-level lumbar Spondylolisthesis. Egypt J Neurosurg. 2019;34(26):6.
Moussa AA, Ali MS and Galal M. Outcome of transpedicular screw fixation with Posterior Interbody Fusion in Management of Spondylolysthesis. IJMA. 2020;2(2):358-64.
McAfee P, DeVine J, Chaput C, Prybis B, et al. The Indications for Interbody Fusion Cages in the Treatment of Spondylolisthesis: Analysis of 120 Cases. Spine. 2005;6:60-65.
Rao G, Abdul Azeez Q and Kumar S. Evaluation of the clinico-radiological outcome of lumbar interbody fusion using cage and local bone graft in management of lumbar spondylolisthesis. International Journal of Orthopaedics Sciences. 2018;4(4):814-22.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Muhammad Idris Khan, Adnan Munir, Sajjad Ullah, Farooq Sherzada, Haider Ali Khan, Syeda FarwahThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
