Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 cases

Spondylolisthesis is forward slipping of upper vertebra in relations to its lower one, commonest is L4-L5. The ideal surgical treatment of spondylolisthesis is still controversial. Posterior lumber interbody fusion with pedicle fixation is one of treatment choices for the lumber spondylolisthesis. F...

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Main Authors: Md. Rezaul Amin, Md. Atikur Rahman, Akhlaque Hossain Khan, Haradhan Devnath, A. B. M. Manwar Hossain, Motashimul Hasan, Kanak Kanti Barua
Format: Article
Language:English
Published: Bangabandhu Sheikh Mujib Medical University 2017-09-01
Series:Bangabandhu Sheikh Mujib Medical University Journal
Subjects:
Online Access:https://www.banglajol.info/index.php/BSMMUJ/article/view/33699
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author Md. Rezaul Amin
Md. Atikur Rahman
Akhlaque Hossain Khan
Haradhan Devnath
A. B. M. Manwar Hossain
Motashimul Hasan
Kanak Kanti Barua
author_facet Md. Rezaul Amin
Md. Atikur Rahman
Akhlaque Hossain Khan
Haradhan Devnath
A. B. M. Manwar Hossain
Motashimul Hasan
Kanak Kanti Barua
author_sort Md. Rezaul Amin
collection DOAJ
description Spondylolisthesis is forward slipping of upper vertebra in relations to its lower one, commonest is L4-L5. The ideal surgical treatment of spondylolisthesis is still controversial. Posterior lumber interbody fusion with pedicle fixation is one of treatment choices for the lumber spondylolisthesis. Forty patients who operated through posterior lumber interbody fusion and pedicle screw fixation by single surgeon was included from January 2012 to March 2015. Periodical follow-up was done both clinically and radiologically up to 6 months. Patient outcome was completed based on pain relief graphic rating scale and Oswestry disability index. In our series, the excellent outcome were 25 patients (62.5%), good were 12 patients (30%), and fair were 3 patients (7.5%). There were no poor outcome and no new neurological deficit. This study concludes that posterior lumber inter-body fusion with pedicle is an effective treatment for the lumber spondylolisthesis. It helps to maintain the biomechanics, associated with less complication and improve the quality of life of patient.
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spelling doaj.art-b34b172c478b4158aa2a6324130674e12022-12-21T21:43:18ZengBangabandhu Sheikh Mujib Medical UniversityBangabandhu Sheikh Mujib Medical University Journal2074-29082224-77502017-09-0110310.3329/bsmmuj.v10i3.3369921788Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 casesMd. Rezaul Amin0Md. Atikur Rahman1Akhlaque Hossain Khan2Haradhan Devnath3A. B. M. Manwar Hossain4Motashimul Hasan5Kanak Kanti Barua6Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000Department of Neurosurgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000Spondylolisthesis is forward slipping of upper vertebra in relations to its lower one, commonest is L4-L5. The ideal surgical treatment of spondylolisthesis is still controversial. Posterior lumber interbody fusion with pedicle fixation is one of treatment choices for the lumber spondylolisthesis. Forty patients who operated through posterior lumber interbody fusion and pedicle screw fixation by single surgeon was included from January 2012 to March 2015. Periodical follow-up was done both clinically and radiologically up to 6 months. Patient outcome was completed based on pain relief graphic rating scale and Oswestry disability index. In our series, the excellent outcome were 25 patients (62.5%), good were 12 patients (30%), and fair were 3 patients (7.5%). There were no poor outcome and no new neurological deficit. This study concludes that posterior lumber inter-body fusion with pedicle is an effective treatment for the lumber spondylolisthesis. It helps to maintain the biomechanics, associated with less complication and improve the quality of life of patient.https://www.banglajol.info/index.php/BSMMUJ/article/view/33699FixationLumber interbody fusionManagementPedicle screwSpondylolisthesis
spellingShingle Md. Rezaul Amin
Md. Atikur Rahman
Akhlaque Hossain Khan
Haradhan Devnath
A. B. M. Manwar Hossain
Motashimul Hasan
Kanak Kanti Barua
Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 cases
Bangabandhu Sheikh Mujib Medical University Journal
Fixation
Lumber interbody fusion
Management
Pedicle screw
Spondylolisthesis
title Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 cases
title_full Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 cases
title_fullStr Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 cases
title_full_unstemmed Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 cases
title_short Posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis: An analysis of 40 cases
title_sort posterior lumber interbody fusion with pedicle screw fixation for the management of spondylolisthesis an analysis of 40 cases
topic Fixation
Lumber interbody fusion
Management
Pedicle screw
Spondylolisthesis
url https://www.banglajol.info/index.php/BSMMUJ/article/view/33699
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AT abmmanwarhossain posteriorlumberinterbodyfusionwithpediclescrewfixationforthemanagementofspondylolisthesisananalysisof40cases
AT motashimulhasan posteriorlumberinterbodyfusionwithpediclescrewfixationforthemanagementofspondylolisthesisananalysisof40cases
AT kanakkantibarua posteriorlumberinterbodyfusionwithpediclescrewfixationforthemanagementofspondylolisthesisananalysisof40cases