Does including interbody fusion to posterolateral fusion improve success within the surgical administration of degenerative lumbar spondylolisthesis?
Medwave. 2018 Jan 30;18(1):e7147
Authors: Meissner-Haecker A, Urrutia J
INTRODUCTION: Surgical therapy of lumbar degenerative spondylolisthesis normally entails an interbody fusion along with a posterolateral fusion. Nevertheless, the worth of this process has not been established.
METHODS: To reply this query we used Epistemonikos, the most important database of systematic opinions in well being, which is maintained by screening a number of data sources, together with MEDLINE, EMBASE, Cochrane, amongst others. We extracted information from the systematic opinions, reanalyzed information of major research, performed a meta-analysis and generated a abstract of findings desk utilizing the GRADE strategy.
RESULTS AND CONCLUSIONS: We recognized 4 systematic opinions, together with 9 major research; none of them randomized. We concluded performing interbody fusion along with posterolateral fusion in the course of the surgical therapy of lumbar degenerative spondylolisthesis would possibly lower vertebral physique slippage and result in a slight enchancment in high quality of life. Nevertheless, it’s related to larger prices.
PMID: 29385121 [PubMed – in process]