Comparative Study between Complications of Two Surgical Fusion Techniques in Management of Degenerative Lumbar Spondylolithesis
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- Category: Vol. 84, December 2016
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Comparative Study between Complications of Two Surgical Fusion Techniques in Management of Degenerative Lumbar Spondylolithesis, OSAMA A. EL-FAHL and MAGED A. MATTER
Abstract
Background: Degenerative lumbar spinal diseases are a common pathology characterized by multilevel disc herniation, stenosis and lumbar spondylolisthesis, which are difficult to treat.
Objectives: The current study aimed to compare the short term clinical outcomes and complications of two surgical techniques of management of this pathology.
Patients and Methods: 30 patients of multilevel lumbar spondylolisthesis were included in this study. Patients were randomly divided into two groups. According to the surgical approach used in treatment. Group (A): Complications that occured when operated upon by posterior decompression, transpedicular screw fixation and posterolateral intertransverse bony fusion. Group (B): Complications that occured when operated upon by posterior decompression, transpedicular screw and Transformainal Lumbar Interbody Fusion (TLIF).
Results: Statistical significance was reached in terms of surgery time, blood loss,infection,dura tear, hospital stay, and fusion rates, but there was no significant difference between the two groups as regards the post-operative JOA score.
Conclusion: The application of the lumbar interbody cage (TLIF cage) proved to have more complications including more operation time, dura tear and cage migration but better fusion rates than inter transverse bony fusion, but still inter-transverse bony fusion gives same results regarding postop-erative clinical improvement with shorter hospital stay and operative time.