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Study of Functional Outcome of Posterior Lumbar Interbody Fusion Technique with Implant in Degenerative Spondylolisthesis at L4 and L5 Lev


Affiliations
1 Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
2 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
 

Background: Lumbar interbody fusion is the most reliable fusion technique currently available for the lumbar spine as these constructs are biomechanically stronger, provide axial support with less graft subsidence or collapse comparing to those with posterolateral arthrodesis, and produce a better biologic fusion in lordotic alignment1, 2 . Aims and Objectives: To study functional outcome of posterior lumbar interbody fusion technique with implant in degenerative spondylolisthesis at L4 and L5 level. Materials and Methods: The study was carried on 34 patients enlisting in the casualty or inpatient department of orthopaedics at a medical college and tertiary health care centre. Only those patients satisfying the inclusion and exclusion criteria were included in the study. All the patients were explained about the surgical procedure, the purpose of the study and Informed consent was taken. Results: As per Japanese Orthopaedic Association score, Normal results were observed in none of the cases while grade I, II and III was observed in 73.5%, 20.6% and 5.9% cases. Post-op results were observed as normal in 64.7% while Grade I, II and III was observed in 32.4% and 2.9% cases respectively (p<0.01). Conclusion: Present study concluded that although, long-term role of deformity correction and restoration of lumbar spinal balance in cases of spondylolisthesis is yet to be determined, the current study appears to indicate that satisfactory radiological correction of degenerative focal sagittal deformity can be achieved with the insert and-rotate PLIF technique. There appeared to be high levels of patient satisfaction in this relatively short-term study and low levels of complications. Longer-term and comparative clinical outcome studies are required.

Keywords

Degenerative Spondylolisthesis, Posterior Lumbar Interbody Fusion Technique, Japanese Orthopaedic Association Score
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  • Modabber MR, Jupiter JB. Operative management of diaphyseal fractures of the humerus-plate versus nail.

  • Clinical Orthopaedics and Related Research. 1998; 347:93104. https://doi.org/10.1097/00003086-199802000-00012

  • Campochiaro G, Baudi P, Loschi R, Serafin F, Catani F. Complex fractures of the humeral shaft treated with antegrade locked intramedullary nail: Clinical experience and long-term results. Acta Bio MedicaAtenei Parmensis.

  • ; 86:69-76.

  • Abel SM. Biocultural variation of skeletal trauma in contemporary Greeks. University of Florida; 2004

  • Chaudhary P, Karn NK, Shrestha BP, Khanal GP, Paneru S, Kalawar RPS. Dynamic compression plate versus

  • intramedullary interlocking nail for managemaent of humeral shaft fractures. Nepal Orthopaedic Association Journal. 2014; 3:10-3. https://doi.org/10.3126/noaj.

  • v3i2.9513

  • Stern P, Mattingly D, Pomeroy D, Zenni E, Kreig J.

  • Intramedullary fixation of humeral shaft fractures. The Journal of Bone and Joint Surgery. 1984; 66:639-46.

  • https://doi.org/10.2106/00004623-198466050-00001

  • PMid:6725312

  • Buckholz RW, Heckman JD, Rockwood, Green’s. Fractures in Adults. 8th ed. Philadelphia (PA): Wolters Kluwer Health; 2015. p.129:1294

  • Ghosh S, Halder TC, Chaudhuri A, Datta S, Dasgupta S, Mitra UK. Comparative study of operative treatment of mid shaft fracture of humerus by locking plate versus intramedullary interlocking nail. Med J DY Patil Univ. 2013; 6:390-4 https://doi.org/10.4103/0975-2870.118282

  • Partap Singh, Vikas Gandhi, Deepak Bansal. Comparative study of compression plating vs interlocking nail in fracture shaft of humerus. International Journal of Contemporary Medical Research. 2016; 3(11):3385-3388

  • Jolly A, Bansal R. Shaft humerus fractures treated with interlocking nails vs. locking compression plates: A comparative study. Indian Journal of Orthopaedics. 2017; 3(2):117-23.

  • Singisetti KK, Swarna S, Loknadh L, Ambedkar M.

  • Comparative study of management of fracture shaft of humerus by interlocking nailing versus plating. In Orthopaedic Proceedings. The British Editorial Society of Bone and Joint Surgery. 2018 Jan. p. 12-12.

  • Naga RG, Kolati SR, Bonda Y. Comparative study of functional outcome of dynamic compression plating with interlocking nailing for fracture shaft humerus in adults.

  • IAIM. 2019; 6(8):102-116.

  • Saroj DK, Nagaich A, Gupta P. Comparative study of results of ORIF with plating vs. CRIF with nailing in fracture midshaft humerus. International Journal of Orthopaedics.

  • ; 6(1):01-4. https://doi.org/10.22271/ortho.2020.

  • v6.i1a.1822

  • Rabari YB, Prasad DV, Somanni AM, Kumar P. Comparative study of functional outcome of dynamic compression plating with intramedullary interlocking nailing in close fracture shaft of humerus in adults. Int J Res Orthop.

  • ; 3:828-32. https://doi.org/10.18203/issn.2455-4510.

  • IntJResOrthop20172881


Abstract Views: 148

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  • Study of Functional Outcome of Posterior Lumbar Interbody Fusion Technique with Implant in Degenerative Spondylolisthesis at L4 and L5 Lev

Abstract Views: 148  |  PDF Views: 88

Authors

Vishal Gautam Harkar
Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Mukesh Agarwal
Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Kaustubh Satish Devasthali
Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Vishwesh Devendrasinh Chudasama
Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Shubham Siddheshwar Zade Siddheshwar Zade
Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, India

Abstract


Background: Lumbar interbody fusion is the most reliable fusion technique currently available for the lumbar spine as these constructs are biomechanically stronger, provide axial support with less graft subsidence or collapse comparing to those with posterolateral arthrodesis, and produce a better biologic fusion in lordotic alignment1, 2 . Aims and Objectives: To study functional outcome of posterior lumbar interbody fusion technique with implant in degenerative spondylolisthesis at L4 and L5 level. Materials and Methods: The study was carried on 34 patients enlisting in the casualty or inpatient department of orthopaedics at a medical college and tertiary health care centre. Only those patients satisfying the inclusion and exclusion criteria were included in the study. All the patients were explained about the surgical procedure, the purpose of the study and Informed consent was taken. Results: As per Japanese Orthopaedic Association score, Normal results were observed in none of the cases while grade I, II and III was observed in 73.5%, 20.6% and 5.9% cases. Post-op results were observed as normal in 64.7% while Grade I, II and III was observed in 32.4% and 2.9% cases respectively (p<0.01). Conclusion: Present study concluded that although, long-term role of deformity correction and restoration of lumbar spinal balance in cases of spondylolisthesis is yet to be determined, the current study appears to indicate that satisfactory radiological correction of degenerative focal sagittal deformity can be achieved with the insert and-rotate PLIF technique. There appeared to be high levels of patient satisfaction in this relatively short-term study and low levels of complications. Longer-term and comparative clinical outcome studies are required.

Keywords


Degenerative Spondylolisthesis, Posterior Lumbar Interbody Fusion Technique, Japanese Orthopaedic Association Score

References