Outcome of Posterior Lumbar Interbody Fusion Versus Posterolateral Fusion for Spondylolytic Spondylolisthesis

Madan, Sanjeev; Boeree, N. R.

doi:10.1097/00007632-200207150-00011

Cited by 171 publications

(136 citation statements)

References 32 publications

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“…Madan 16 compared 23 patients with lumbar spondylolisthesis submitted to a posterior fusion procedure with 21 patients submitted to a posterior fusion procedure and interbody fixation. Three patients in the first group lost surgical correction of the spondylolisthesis, while no patient in the second group presented such complication.…”

Section: Discussionmentioning

confidence: 99%

“…Madan 16 used the Oswestry questionnaire, among other tools, to evaluate the final outcomes of patients with lumbar spondylolisthesis submitted to a posterior fusion procedure or to a PLIF procedure. Oswestry index of 69% was reported in the posterior fusion group, and a 81% index was reported in the PLIF group.…”

Section: Discussionmentioning

confidence: 99%

“…Preoperative mean Rolland-Morris questionnaire score in Group I was 11.2 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). The mean post-operative score was 7.4 (1-22).…”

Section: Group II (Plif) -mentioning

confidence: 99%

“…we have found few papers in the literature comparing the use of pedicle screws with pedicle screws associated with a posterior intersomatic posterior fusion in the surgical management of lumbar spondylolisthesis 11,12,15,16 . The purpose of this study was twofold: to compare efficacy of the posterior lumbar interdody fusion (PLIF) with the posterior lumbar fusion (PLF); and to compare the complications of both procedures.…”

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confidence: 99%

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Comparison between posterior lumbar fusion with pedicle screws and posterior lumbar interbody fusion with pedicle screws in adult spondylolisthesis

Dantas

Prandini

Ferreira

2007

Arq. Neuro-Psiquiatr.

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-The purpose of this study was to compare patients with lumbar spondylolisthesis submitted to two different surgical approaches, and evaluate the results and outcomes in both groups. In a two-year period, 60 adult patients with lumbar spondylolisthesis, both isthmic and degenerative, were submitted to surgery at the Biocor Institute, Brazil. All patients were operated on by the same surgeon (FLRD) in a single institution, and the results were analyzed prospectively. Group I comprised the first 30 consecutive patients that were submitted to a posterior lumbar spinal fusion with pedicle screws (PLF). Group II comprised the last 30 consecutive patients submitted to a posterior lumbar interbody fusion procedure (PLIF) with pedicle screws. All patients underwent foraminotomy for nerve root decompression. Clinical evaluation was carried out using the Prolo Economic and Functional Scale and the Rolland-Morris and the Oswestry questionnaire. Mean age was 52.4 for Group I (PLF), and 47.6 for Group II (PLIF). The mean follow-up was 3.2 years. Both surgical procedures were effective. The PLIF with pedicle screws group presented better clinical outcomes. Group I presented more complications when compared with Group II. Group II presented better results as indicated in the Prolo Economic and Functional Scale.KEy wORDS: posterior lumbar interbody fusion (PLIF), posterior lumbar fusion, spondylolisthesis, pedicle screws, lumbar spine, spinal instrumentation.estudo comparativo entre fusão lombar posterior com parafuso pedicular e fusão intersomáti-ca lombar posterior associada com parafuso pedicular em espondilolistese no adulto RESUMO -O objetivo foi comparar dois grupos de pacientes portadores de espondilolistese lombar que foram submetidos a dois procedimentos cirúrgicos distintos, avaliando os resultados clínicos levando em consideração a qualidade de vida. Durante o período de 1998 a 2001 sessenta pacientes portadores de espondilolistese da coluna lombar ístmica e degenerativa foram submetidos a tratamento cirúrgico no Hospital Biocor em Belo Horizonte, por um mesmo cirurgião foram analisados prospectivamente. Os primeiros trinta pacientes foram submetidos a fusão posterior com parafusos pediculares e os trinta seguintes a fusão posterior com parafusos pediculares associada a fusão intersomática posterior. Os pacientes foram submetidos a liberação radicular com laminectomia e foraminotomia. A avaliação clínica foi feita utilizando as escalas de Prolo Econômico e Funcional, o questionário de Rolland-Morris e de Oswestry. Os resultados clínicos apresentaram que os dois procedimentos realizados foram eficazes. Houve maior número de complicações relacionadas com a biomecânica no grupo que foi submetido somente à fusão posterior e o grupo submetido à fusão posterior associada a fusão intersomática apresentou melhores resultados com retorno as atividades diárias e melhora da qualidade de vida.PALAvRAS-CHAvE: fusão intersomática lombar posterior, fusão lombar posterior, espondilolistese, fixação pedicular, coluna lombar,...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Preoperative mean Rolland-Morris questionnaire score in Group I was 11.2 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). The mean post-operative score was 7.4 (1-22).…”

Section: Group II (Plif) -mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Comparison between posterior lumbar fusion with pedicle screws and posterior lumbar interbody fusion with pedicle screws in adult spondylolisthesis

Dantas

Prandini

Ferreira

2007

Arq. Neuro-Psiquiatr.

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show abstract

“…We have found few papers in the literature comparing the use of pedicle screws with pedicle screws associated with a posterior intersomatic posterior fusion in the surgical management of lumbar spondylolisthesis [10,13].…”

Section: Introductionmentioning

confidence: 99%