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ORIGINAL ARTICLE
Year : 2020  |  Volume : 12  |  Issue : 1  |  Page : 17-22

Short-term functional evaluation of posterior lumbar interbody fusion done for degenerative spondylolisthesis at L4–L5 level


1 Department of Orthopaedics, Ghati Hospital and Government Medical College, Panchakki Road, Aurangabad, Maharashtra, India
2 Department of Neurosurgery, M G M Medical College and Hospital, Aurangabad, Maharashtra, India

Correspondence Address:
Dr. Ansari Ishtyaque Abdul Aziz
Department of Neurosurgery, MGM Medical College, N-6, Cidco and Director, The Pacific Hospital, N-12, Plot 16, Aurangabad - 431 001, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jotr.jotr_7_19

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Context: Low back pain due to degenerative spondylolisthesis in the elderly especially the rural Indian population involved in farming and agriculture hard work is a common and incapacitating problem. Aims: Degenerative spondylolisthesis of L4/L5 is commonly observed with associated disc degeneration leading to foraminal stenosis causing radiculopathy and neuroclaudication. Materials and Methods: We have evaluated a short-term prospective follow-up of 26 patients treated with posterior lumbar interbody fusion (PLIF) with titanium pedicular screws and cage for L4–L5 degenerative lumbar 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 McNemar's 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 postoperative after PLIF for DLS and also good to excellent results in 84.61% of cases according to MacNab'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.


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