19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

Lumbar fusion for lytic spondylolisthesis: Is an interbody cage mandatory?

Related Articles

Lumbar fusion for lytic spondylolisthesis: Is an interbody cage mandatory?

J Craniovertebr Junction Backbone. 2018 Apr-Jun;9(2):101-106

Authors: Boktor J, Ninan T, Pockett R, Collins I, Sultan A, Koptan W

Research Design: This research was a retrospective observational research.
Objective: The aim of the research was to find out the radiological and scientific end result of utilizing regionally sourced autologous bone graft within the surgical administration of single-level lumbar lytic spondylolisthesis.
Background: Many spinal surgeons complement pedicle screw fixation of lumbar spondylolisthesis with cages. In creating international locations, the excessive value of interbody cages has precluded their use, with surgeons resorting to filling the interbody house with various kinds of bone graft as a substitute. This research reviews on the scientific and radiological end result of posterior lumbar interbody fusions for low-grade lytic spondylolisthesis utilizing regionally sourced autologous bone graft.
Materials and Strategies: Posterior interbody fusion was carried out in 22 consecutive sufferers over 18-month interval, utilizing (BRAND) pedicle screw system and regionally sourced bone graft, i.e., bone eliminated throughout neural decompression. There have been no postoperative restrictions, and all sufferers underwent scientific end result measurements utilizing Oswestry Incapacity Index (ODI), visible analogue ache rating (VAS) at a minimal follow-up of 12 months, and computed tomography (CT) evaluation of fusion with intraobserver validation by radiology guide blinded, at 6 and12 months. Almost 50% of the inhabitants have been people who smoke.
Outcomes: There was vital scientific enchancment in ODI, VAS again ache, and VAS leg ache (P < zero.001). Against this, the radiologic fusion fee measured by CT at 12 months was much less passable at 64%. There was no distinction in scientific end result between the fused group and nonfused inhabitants.
Conclusions: These outcomes point out that using regionally sourced bone graft in single-level lumbar lytic low-grade spondylolisthesis. Interbody fusion supplies good scientific outcomes. Using an interbody cage is probably not clinically mandatory. Our radiologic end result, nonetheless, exhibits inferior fusion charges in contrast with revealed information. Future analysis will concentrate on long-term outcomes.

PMID: 30008528 [PubMed]

Share to care...

Share on facebook
Share on twitter
Share on pinterest
Share on google
Share on linkedin
Share on skype

What we do...

The Harley Street Hospital


What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......