Outcome of one level instrumented posterior lumbar interbody fusion in indicated cases of prolapsed intervertebral disc (PIVD) – A clinical study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Lumbar disc herniation is one of the most common spinal degenerative disorders which lead to low back pain (LBP) and radicular leg pain. Heavy lifting, twisting and trauma were the most common causes of LBP, in which 52-60% are work-related. Instrumented Posterior Lumbar Interbody Fusion (PLIF) provides various advantages including load sharing, maintained the disc height, formation of three-column stability, with allowance for wider decompression, prevention of graft dislodgment, and improved fusion rate. Aims and Objectives: To study the outcome of one level instrumented posterior lumbar interbody fusion in indicated cases of prolapsed intervertebral disc using a single cage. Material and Methods: It is a prospective clinical study of 14 consecutive patients, who underwent one level instrumented posterior lumbar interbody fusion (PLIF). The duration of study is from June 2015 to May 2016. The duration of follow up range from 6 to 12 months. Clinical outcome is assessed using Oswestry Disability Index (ODI), Visual analog score (VAS). The radiological outcome is assessed using Modified Lee’s criteria of fusion. All the data were analyzed using SPSS Statistics Desktop 22.0. Paired t test is used for comparison of preoperative and post-operative measurements and considered significant if the p-value < 0.05. Results: Out of 14 patients, 10 were males and 4 female, with the mean age of 39.43 years. Clinically the preoperative and postoperative ODI score, VAS score are statistically significant p<0.0001 (the result is significant at p≤0.05). The surgery restore the disc height and at a mean follow up of 9 months 12 patients (85.71%) shows possible fusion and 2 patients (14.29%) shows possible pseudoarthrosis. Conclusion: Local bone are adequate for one level fusion. PLIF with single cage provide successful outcome when augmented with instrumentation in this type of cases.
Authors and Affiliations
Dr. Anshuman Dutta, Dr. Vikash Agarwala, Dr. Arup Kumar Daolagupu, Dr. Pausiam Tunglut
Keywords
Related Articles
- EP ID EP502347
- DOI 10.22271/ortho.2017.v3.i2i.83
- Views 119
- Downloads 0
Retrospective study of management of diaphyseal fractures of tibia with intramedullary interlocking nail
Most common long-bone fracture is tibial shaft fracture encountered by most of the orthopaedic surgeons. Intramedullary nailing has become the treatment of choice for displaced diaphyseal fractures of the tibia in adults...
Radiological assessment of closure time of around elbow secondary ossification centers, in Khartoum hospital, Khartoum north hospital, Omdurman hospital, police hospital, and Umbadda hospital, in Khartoum, Sudan (December 2009-2010)
Background: Elbow joint is characterized by 6 secondary ossification centers; in the capitulum, trochlea, lateral and medial epichondyles, olecranon and head of the radius. They are present on plane elbow radiograph at d...
To assess the functional outcome of autologous platelet rich plasma injection in patients with chronic plantar fasciitis
Introduction and Objectives: Plantar fasciitis most common degenerative condition causes severe heel pain near the site of origin of the plantar fascia. Any heel pain due to plantar fasciitis persisting will often distre...
The use of cling film to facilitate shower after total knee replacement surgery
Background: Total knee replacement (TKR) surgeries are arguably the most successful procedure in recent times. However, personal hygiene remains a big issue, especially in the immediate post operative period. The patient...
Congenital radio ulnar synostosis, analysis of functional outcome using double rotation osteotomy and osteotomy at synostosis site
Aim: To evaluate the functional outcome using double rotation osteotomy and osteotomy at synostosis site in congenital radio ulnar synostosis Materials and methods: A prospective study has been done in Institute of child...