|
KMID : 0388720070140010034
|
|
Journal of Korean Society of Spine Surgery
2007 Volume.14 No. 1 p.34 ~ p.43
|
|
|
Minimum 5 Year Results of Posterior Lumbar Interbody Fusion with Cages in Lumbar Spondylolisthesis
|
|
Chung Jae-Yoon
Seo Hyoung-Yeon
Lee Jae-Joon
Kang Kyung-Do
|
|
|
Abstract
|
|
|
Study design:A retrospective study OBJECTIVES: To examine the mid term clinical and radiologic findings of patients treated by Posterior Lumbar Interbody Fusion (PLIF) with cages in spondylolisthesis.
Literature review:The clinical result of PLIF with cages is satisfactory. PLIF with cages is a useful treatment for spondylolisthesis.
Materials and methods:Forty-two patients were followed up for more than 5 years. Their mean age was 53 years and the mean follow-up period was 68 months. Twenty-one cases were the isthmic type, and 21 cases were the degenerative type. The low back pain score, Lin s clinical result, perioperative value of slippage, anterior intervertebral disc space height, radiological change in the adjacent level and complications were evaluated.
Results:The preoperative lower back pain score improved from 46.7 to 86.4 points at the last follow-up (p.0.05). Thirty-eight patients (91%) showed excellent or good results. The preoperative value of slippage improved from 17.5% to 5.7% (p.0.05). The anterior intervertebral disc space height increased from 10.0 to 14.5 mm (p.0.05). There were changes in the above and lower adjacent segments in 12 cases (28%). Two of these cases required surgery.
Conclusion:PLIF with cages might be an effective method in spondylolisthesis. However, the long-term follow-up showed changes in the adjacent segment.
|
|
|
KEYWORD
|
|
|
Spondylolisthesis, Posterior Lumbar Interbody Fusion, Follow-up
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|