Assessment of Instability in Degenerative Lumbar Spondylolisthesis using the Standing and Supine Lateral Radiographs.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2021, Vol 33, Issue 04
Abstract
Objective: To compare the percentage of slip difference using the standing and supine lateral radiographs in symptomatic degenerative lumbar Spondylolisthesis. Methods: This descriptive study was conducted in department of Spine surgery unit Hayat Abad Medical Complex Peshawar from 2nd January 2019 to 2nd December 2020.All adults patients of both gender with low backache due to degenerative Spondylolesthesis meeting the inclusion criteria were enrolled in this study. All patients underwent standing and supine lateral radiographs. Slip of Spondylolesthesis was calculated according to Dupuis technique. Percentage of slip on standing radiographs were compared with supine and p value calculated using student t test. P value <0.05 was considered significant. Results: The total number of patients were 30. The mean age was 44.60±6.62 years. Male patients were 5 (16.7%) and female 25 (83.3%). Spondylolesthesis was noted at L4-L5 level in 17 (56.66%) patients while 13 (43.33%) patients had L5-S1 level involved. The mean slip percentage on standing x ray was 34.60± 20.03 and on supine 11.97±8.65 showing a significant slip reduction on supine radiographs.(p=0.01) Conclusion: Supine lateral radiographs showed significant slip reduction in degenerative Spondylolesthesis. We therefore recommend routine use of supine lateral radiographs for the assessment of degenerative Spondylolesthesis.
Authors and Affiliations
Samir Kabir1, Ihsan Ullah2, Muhammad Zahid Khan3, Aamir Kamran4, Sardar Hussain5
Comparison of Frequency of Complications of Paediatric Femoral Shaft Fractures Treated with Hip Spicca Versus Flexible Nails.
Objective: To compare the frequency of complications of Paediatric femoral shaft fractures treated with hip spicca versus flexible nails. Methods: This retrospective cross sectional study was conducted in Orthopedics...
A Closed Callostasis for Late Presenting Supracondylar Humeral Fractures in Children; Our experience.
Background. Supracondylar fractures are common in the pediatric age group. Delayed and neglected presentation of supracondylar fractures is frequent especially in third world countries because of various factors. There a...
Functional Outcome of Dynamic Condylar Screw (DCS) in the Treatment of Unstable Proximal Femoral Fractures in Adult Patients
Objective: To determine the functional outcome of dynamic condylar screw in the treatment of unstable proximal femoral fractures in adult patients. Methods: This descriptive study was conducted in Department of Orthop...
Early Experience with Ponseti Technique in the Management of Congenital Idiopathic Talipes Equino Varus (CTEV) in Children Less Than 1 Year of Age
the objective of this study is to evaluate the early results of Ponseti Technique in the management of congenital idiopathic talipes equino varus. Methods: This prospective study was carried in the Department of Orth...
Pattern of Motorbike Spoke wheel injuries in children presenting to the Accident and Emergency Department of a Tertiary care hospital
Objective: To determine the pattern of motorbike spoke wheel injuries in terms of severity and location in children presenting to the Accident and Emergency Department of our hospital. Methods: We conducted this descr...