Clinical evaluation of lumbar interbody fusion (PLIF/TLIF) done for spondylolysthesis at L4-L5 level

Muqtadir Ansari, Ishtyaq Ansari
2019 International Journal of Orthopaedics Sciences  
Lumbar pain due to spondylolysthesis (DLS) in the elderly especially the rural Indian population involved in farming and agriculture hard work is a common and incapacitating problem. Aims: Degenerative Lysthesis of L4-L5 level is commonly observed with associated disc degeneration leading to foraminal stenosis causing radiculopathy and neuroclaudication. Methods and Material: We have done a short term prospective follow-up of 26 patients treated with posterior lumbar interbody fusion (PLIF)
more » ... y fusion (PLIF) with titanium pedicular screws and cage for L4-L5 degenerative spondylolysthesis (DLS) for 1, 3, and 6 months after surgery using Japanese Orthopaedic Association (JOA) criteria and MacNab's criteria. Statistical analysis used: Chi-Square Test or Mc Nemers Chi-Square Test. Results: The rate of improvement as calculated from the JOA score improved from 8.34 preoperatively to 72.19 at 6 months post-operative after PLIF for DLS and also good to excellent results in 84.61% cases according to Mac Nab's criteria. Conclusions: Hence we conclude that PLIF for DLS significantly improves quality of life postoperatively because of relief of back pain and neurological symptoms.
doi:10.22271/ortho.2019.v5.i2h.58 fatcat:s2tolhibwvfu7h5ij3fidt4iyy