Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar Spondylolisthesis
Introduction: Lumbar Spondylolisthesis as a cause of low back pain and lower limb radiculopathy has been treated using varied surgical options. The role of laminectomy for decompression of neural elements and stabilization using instrumentation in the form of pedicle screws and rod construct has...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6077/11530_CE[Ra1]_F(AK)_PF1(PAK)_PFA(AK)_OLF_PF2(PAG).pdf |
| Summary: | Introduction: Lumbar Spondylolisthesis as a cause of low
back pain and lower limb radiculopathy has been treated
using varied surgical options. The role of laminectomy for
decompression of neural elements and stabilization using
instrumentation in the form of pedicle screws and rod construct has been a well-established and time tested treatment
modality.
Aim and Objectives: This study analyses the role of
laminectomy and instrumentation in obtaining clinical and
radiologically favourable outcome.
Materials and Methods: Data was analysed from the case
records for the duration from January 2010 to March 2014.
The study analyses the influence of lumbar decompression
(laminectomy) and transpedicular instrumentation using titanium
pedicle screws and intertransverse process iliac crest graft on
patients with degenerative lumbar spondylolisthesis and spinal
stenosis.
Conclusion: Decompression primarily relieves radicular
symptoms and neurogenic claudication whereas fusion primarily
relieves back pain by elimination of instability. The addition of
posterolateral instrumentation (pedicle screws) enhances the
ability to obtain a solid arthrodesis. Posterolateral instrumentation
enables improved functional outcome, better patient satisfaction
and less back and lower limb symptomatology. This is irrespective
of bony arthrodesis or pseudoarthrosis, at least in the short
term follow-up. |
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| ISSN: | 2249-782X 0973-709X |