Volume : VIII, Issue : III, March - 2019

STUDY ON HIGH GRADE SPONDYLOLISTHESIS (GRADE 3 AND GRADE4) TREATED BY POSTERIORLUMBAR INTERBODY FUSION

Dr. D. Pathi Arasa Kumar, Dr. R. Karthik Raja

Abstract :

This study is to evaluate decompression, reduction and instrumentation for high grade spondylolisthesis with posterior lumbar interbody fusion technique in alleviating clinical symptoms and signs of mechanical back pain and radicular pain with or without neurological deficit, achieving the correction of the % slip. and avoiding the progression of slip. We operated upon 15 patients with high grade spondylolisthesis at our institution, 11 were females and 4 were males. We used Meyerding system of grading in our series and patients in our study belonged to Grade III and Grade IV spondylolisthesis All our patients came under the category of isthmic type of spondylolisthesis. Implants used were MOSS Miami system of rods, 5mm pedicle screws (mono axial, poly axial), stainless steel cage. . We were able to achieve full correction of % slip in 12 patients where as only partial correction was achieved in 3 patients (1 male; 2 female). All the three patients belonged to Grade IV and they were reduced to Grade III. In conclusion, we would suggest PLIF technique supplemented with posterolateral bone grafting is an ideal technique in high grade listhesis for the achievement of reduction, direct decompression of nerve roots, interbody fusion, good biomechanical support by pedicular instrumentation This technique is also advisable in view of low complication rate.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

STUDY ON HIGH GRADE SPONDYLOLISTHESIS (GRADE 3 AND GRADE4) TREATED BY POSTERIORLUMBAR INTERBODY FUSION, Dr.D.PATHI ARASA KUMAR, Dr.R. KARTHIK RAJA INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019

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