Tlif Versus Plif In Management Of Low Grade Spondylolisthesis
2010; Elsevier BV; Volume: 46; Issue: 2 Linguagem: Inglês
ISSN
2090-5076
Autores Tópico(s)Spinal Fractures and Fixation Techniques
ResumoBackground: Spinal fusion is commonly performed together with rigid instrumentation to treat low-grade spondylolisthesis. Several fusion methods have been reported for low-grade spondylolisthesis via various approaches including posterolateral fusion (PLF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), and anterior lumbar interbody fusion (ALIF) The choice of lumbar fusion technique must be individualized based on the clinical needs of each patient, and the surgical outcome for each procedure. Aim of the work: This study was done to evaluate the results obtained in patients undergoing TLIF compared with PLIF with pedicle screw fixation for the treatment of low grade spondylolisthesis. Material and Methods: This study was carried out on sixty patients fulfilling the selected criteria, admitted to the neurosurgery department of the Main Alexandria University hospital between January 2005 and December 2008, thirty consecutive patients underwent transforaminal lumbar interbody fusion (group I) and another thirty consecutive patients underwent posterior lumbar interbody fusion (group II). Patients have been followed up clinically and radiologically for a period ranged from 6-18 months. Results: The mean VAS for back and leg pain significantly decreased from 6.99 ± 0.9 to 2.1±0.7 and 6.4±0.8 to 2.0±0.9 in group I and from 7.37±1.0 to 1.7±0.7 and 6.3±0.7 to 1.6±0.8 in group II, respectively, (P Keywords: Spondylolisthesis, Interverterbral fusion, TLIF, PLIF.
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