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...
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| Format: | Article |
| Language: | English |
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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 |
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| author | Madhukar T Nayak Raghavendra Bakki Sannegowda |
| author_facet | Madhukar T Nayak Raghavendra Bakki Sannegowda |
| author_sort | Madhukar T Nayak |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T02:08:28Z |
| format | Article |
| id | doaj.art-fb9b2ec5e88f429db3d4b7570f781f33 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T02:08:28Z |
| publishDate | 2015-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-fb9b2ec5e88f429db3d4b7570f781f332022-12-21T18:42:29ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-06-0196PC17PC2110.7860/JCDR/2015/11530.6077Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar SpondylolisthesisMadhukar T Nayak0Raghavendra Bakki Sannegowda1Associate Professor, Department of Neurosurgery, Father Muller Medical College Hospital, Kankanady, Mangalore, India.Assistant Professor, Department of Neurology, Father Muller Medical College Hospital, Kankanady, Mangalore India.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.https://jcdr.net/articles/PDF/6077/11530_CE[Ra1]_F(AK)_PF1(PAK)_PFA(AK)_OLF_PF2(PAG).pdflumbar laminectomypedicle screw fixationposterolateral instrumentationspinal instrumentation |
| spellingShingle | Madhukar T Nayak Raghavendra Bakki Sannegowda Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar Spondylolisthesis Journal of Clinical and Diagnostic Research lumbar laminectomy pedicle screw fixation posterolateral instrumentation spinal instrumentation |
| title | Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar Spondylolisthesis |
| title_full | Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar Spondylolisthesis |
| title_fullStr | Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar Spondylolisthesis |
| title_full_unstemmed | Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar Spondylolisthesis |
| title_short | Clinical and Radiological Outcome in Cases of Posterolateral Fusion with Instrumentation for Lumbar Spondylolisthesis |
| title_sort | clinical and radiological outcome in cases of posterolateral fusion with instrumentation for lumbar spondylolisthesis |
| topic | lumbar laminectomy pedicle screw fixation posterolateral instrumentation spinal instrumentation |
| url | https://jcdr.net/articles/PDF/6077/11530_CE[Ra1]_F(AK)_PF1(PAK)_PFA(AK)_OLF_PF2(PAG).pdf |
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