Results of Lumbar Transpedicular Fixation for Spondycolisthesis, in Terms of Back Pain Relief

Abstract

Objective: The goal of this study was to see how transpedicular fixation for degenerative spondylolisthesis affected lumbago.
 Methodology: A retrospective observational study was conducted at the Department of Neurosurgery in Hayatabad Medical Complex, Peshawar between May 2018 and February 2020. Degenerative spondylolisthesis was diagnosed using static and dynamic spinal X-rays. The research excluded the patients with grade 5 spondylolisthesis, congenital anomalies, or prior spinal surgery. The visual rating scale was used to assess pain alleviation (GRS). Dynamic or static lumbosacral X-rays and 3D CT scans were used to assess union.
 Results: In total 70 patients, 38 (54.3%) were male and 32 (45.7%) were female. L5–S1 was impacted in most of the cases (68%). 40% of patients were having Meyerding grade II. All patients had pedicle screw fixation. Following surgery, 44 (63%) patients reported no pain, and 12 (17%) patients reported mild discomfort. 8 (11%) patients reported moderate pain and 6(9%) patients experienced severe pain. There existed a significant difference between pre/postoperative moderate-severe GRS scores (p-value: 0.000336). After surgery, we were able to negotiate surgical unions with 91.4% of the patients.
 Conclusion: For individuals with spondylolisthesis who need pain relief, transpedicular fixation is a safe, straightforward, and effective treatment. It also aids with the surgical union and the improvement of the neurological condition.
 Keywords: Spondylolisthesis, Meyerding grading, Transpedicular fixation.

Transpedicular Fixation for the Alleviation of Neurogenic Claudication and Backache in the Management of Spondylolisthesis

“…We found that 90% of the patients had signs of radiological fusion at 6month followup. Similar findings were reported by Ishaq et al 21 and Amir et al 22 The greater degree of fusion is associated with improvement in back pain symptoms and favorable outcomes overall. As we did not perform any interbody fusion, these findings also support the argument that transpedicular fixation alone without interbody fusion can have a higher grade of fusion rates.…”

“…30 (50%) of the patients and L5-S1 was the most frequent level involved (40%) followed by L4-5 (38.3%). Similar findings were reported by Ishaq et al 21 and Amir et al, 22 however, Singha et al, 23 and Ewiss et al, 24 found L4-5 as the most common level involved (70% and 76% of cases respectively).…”

“…We found that wound infection was the most common complication, post-operatively followed by implant failure; however, the complications were comparable to the findings in other studies and acceptable according to international standards. [21][22][23][24][25][26]…”