Management of Degenerative Lumbar Spine Disease by Posterior Lumbar Interbody Fusion and Percutaneous Pedicular Fixation | ||||
| Benha Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 29 May 2023 PDF (1.08 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2023.198090.1774 | ||||
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| Authors | ||||
Mamdouh El-karamany1; Amr Ahmed Maghawry  2; Ashraf Ismail Bakr3
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| 1Professor of orthopedic surgery Faculty of medicine Benha University | ||||
| 2Orthopedic surgery department | ||||
| 3Fellow of orthopedic surgery Faculty of medicine Benha University | ||||
| Abstract | ||||
| Background: Management of degenerative lumbar spine by percutaneous pedicle screw fixation and posterior interbody fusion is another technique instead of standard open techniques. This study aimed to evaluate outcome of using percutaneous fixation and interbody fusion in management of symptomatic spondylolithesis. Methods: Once these methods are known, though, they provide a secure, minimally invasive, and trauma-free way to conduct fusion. Patients and Methods: This paper has illustrated in detail how to do this surgery, including ten patients, 2 males and 8 females, nine patients were L5-S1 and one was L4-L5 .7 patients were grade 2 Spondylolithesis and 3 patients were grade 3 Spondylolithesis with follow up three months, six months and one year. Result: Comparison of preoperative VAS of back pain, VAS of leg pain and ODI among the operated patients (N=10) with 6 weeks, 6 months and final outcome, there was significant change among them with follow, As measured by the ODI. In the study the SVA showed a change from the range of (-65.1 to 110) to (-29 to 35) mm. there was 2 patients with SVA more than 50mm pre-operative. All patients were balanced post-operative. The fusion rate was about 95.8% with only one case showed non-union. Conclusion: For the treatment of spondylolisthesis, percutaneous pedicular fixation and interbody fusion is a promising alternative. The majority of surgeons prefer less invasive techniques, using minimally invasive pedicle screw systems, due to the morbidity caused by excessive paraspinal muscle stripping. | ||||
| Keywords | ||||
| Degenerative lumbar spine; Posterior lumbar interbody fusion; Percutaneous Pedicle screw fixation | ||||
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