Route-changeable lumbar cage versus conventional lumbar cage for treating lumbar spondylolisthesis: A retrospective research.
Medication (Baltimore). 2018 Feb;97(7):e9984
Authors: Zhang H, Jiang Y, Wang B, Zhao Q, He S, Hao D
Regardless of the varied designs for the lumbar interbody fusion cage, there isn’t a consensus on the optimum design to this point. The present research aimed to check the efficacy and issues related to the direction-changeable and conventional lumbar cages for treating lumbar spondylolisthesis.We performed a retrospective research together with 109 sufferers with lumbar spondylolisthesis, who have been admitted to our hospital from January 2013 to December 2014. The sufferers have been divided into the direction-changeable (group A) and conventional (group B) lumbar cage group.All sufferers underwent single-level transforaminal lumbar interbody fusion and have been adopted up for 12 to 24 months. There have been 52 instances in group A and 57 instances in group B. Surgical procedure-related parameters, together with operation time, bleeding quantity, and hospitalization time, have been recorded; there was no vital distinction between the two teams relating to these parameters. The visible analog scale and Oswestry incapacity index on the final follow-up confirmed vital enchancment in contrast with preoperative values in each teams (P?<?.05). Sufferers in group A demonstrated extra intervertebral house peak upkeep postoperatively than sufferers in group B however the distinction was not statistically vital (P?>?.05). In group A, issues included three instances of nonunion (5.77%) and 1 case of cerebrospinal fluid leakage (1.92%). In group B, issues included 9 instances of nonunion (15.79%) and 1 case of postoperative an infection (1.75%). There was a major distinction between each teams when it comes to the nonunion price and whole complication price (P?<?.05).The direction-changeable lumbar cage has deserves similar to a better bone fusion price and fewer postoperative issues in comparison with the standard lumbar cage.
PMID: 29443791 [PubMed – in process]