Surgical Management of Spondylolisthesis by Pedicular Screw Rod System and Postero-Lateralfusion
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Introduction: Incidence of spondylolisthesis in general population is 5-7%. No matter what the etiology is, patients usually have significant functional disability. Few studies have investigated the long term effect of Postero Lateral Fusion on functional outcome. Objectives: To study the efficacy of Postero Lateral Fusion in spondylolisthesis especially in terms of functional outcome. Methodology: From July 2010 to June 2012, a total of 86 patients, operated with Postero Lateral Fusion were followed up and evaluated based on Visual Analogue for Pain (VAS) for low back pain, ODI and neurological deficits. Results: Follow up was 83% of original study population (86). Average follow up was 13 months. The mean difference between pre operative and post operative VAS at final follow up was 3.5 cms (SD= 2.94); ODI was 28% at 4 months and 36% at 8 months. Claudication pain relieved in all; functional outcome was good in 67%, fair in 27.5% and failed in 5.5%; 75% had fusion at an average of 5.5 months. Conclusion: PLF is still a safe, promising and appealing technique.
Authors and Affiliations
Dr. Ramesh Benguluri, Dr. Chinnala Srujan Kumar
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