Minimal Invasive Transforaminal Lumbar Interbody Fusion in Low Grade Isthmic Spondylolithesis | ||
| Zagazig University Medical Journal | ||
| Article 31, Volume 29, Issue 1.1, January 2023, Pages 221-227 PDF (328.9 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2020.24340.1748 | ||
| Authors | ||
| Elsayed Mohamed Selim* 1; Tarek El-Hewala2; Amr Mohamed El-Adawy3; Omar Mohamed Abd Elwahab Kelany4 | ||
| 1Orthopedicdepartment, faculity of medicine ,zagazig univeristy , zagazig, Egypt. | ||
| 2Orthopedic department, faculity of medicine, zagazig univeristy, zagazig, Egypt | ||
| 3Orthopedicdepartment, faculity of medicine ,zagazig univeristy , zagazig, Egypt. | ||
| 4Orthopedic department Zagazig univeristy hospitals | ||
| Abstract | ||
| Abstract Study Design:Prospective clinical trial Aim: To evaluate the results of Minimal Invasive Lumbar Interbody Fusion (MIS-TLIF) in management of Isthmic spondylolisthesis Introduction:Symptomatic isthmic spondylolisthesis may cause back and or leg pain that usually need surgical intervention. The question is what type of surgical treatment option to choose; a good option is MIS-TLIF with similar or to somewhat better results than the traditional open-TLIF. Methods:Between December 2017 to December 2019, 24 patients having low-grade isthmic spondylolisthesis were subjected to MI-TLIF surgery in the spine unit of orthopedic department Zagazig university hospital. Osteotomy of the facet complex, preparation of the disc space and cages insertion was done, with per-cutaneous pedicle screw fixation. Demographic data, radiological imaging, Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were collected. Twelve months was the least follow up period. Results: The mean slip reduction changed from 23.13% to 6.48%. The mean VAS for back and leg pain improved from8.42 to 1.79 and7.46 to 1 respectively. The mean ODI decreased from 52.21 to 15.71 at the final outcome. No implant failure was documented in our patients. Our mean operative time was 110. 20 ± 13.39 minute, our mean radiation exposure was 3.79 ± 0.83 minute and the mean blood loss was 56.45 ± 14.63 ml. The fusion rate was 95.8%. Conclusion:MIS-TLIF for low-grade isthmic spondylolisthesis provided us with good clinical outcome and good fusion rate. MIS-TLIF can restore and maintain an adequate Sagittal Vertical Access (SVA) and so can provide us with good sagittal alignment post-operative. | ||
| Keywords | ||
| minimal; isthmic; spondylolithesis | ||
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