Improvement of Spinopelvic Parameters Following the Surgical Treatment of Spondylolisthesis Using Interbody Fusion Cage

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GHANDHARI HASAN; NIKOUEI FARSHAD; Chehrassan Mohammad Reza; Heidarikhoo Mohamadreza; Shakeri mohammad Reza

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Journal: Journal of Research in Orthopedic Science Year:2020 | Volume:7 | Issue:4 Page(s): 159-164

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Title

Improvement of Spinopelvic Parameters Following the Surgical Treatment of Spondylolisthesis Using Interbody Fusion Cage

Author(s)

Keywords

Spondylolisthesis

Interbody fusion

Spinopelvic

Posterior spinal fusion

Abstract

Background: There is no consensus regarding the clinical benefit of Interbody fusion cage in the treatment of Spondylolisthesis (SL). This study aimed to evaluate the effect of posterolateral fusion combined with Interbody fusion cage on the Spinopelvic parameters and the pain level of the patients. Objectives: Role of Interbody fusion in the treatment of Spondylolisthesis Methods: This prospective study included 40 SL patients who underwent surgery following the failure of conservative management. The Meyerding classification was used to grade SL. Also, the visual analog scale was used to measure the level of pain, before and after the operation. Spinopelvic parameters included total kyphosis, sagittal vertebral axis, pelvic tilt, pelvic incidence, and lumbar lordosis. Results: The Mean±, SD age of the patients was of 53. 4±, 11. 6 years. In four patients (10%), SL occurred at two levels. Besides, the etiology was degenerative in 21 cases (52. 5%) and isthmic in 19 cases (47. 5%). The grade I, II, and III of SL were detected respectively in 17, 17, and 6 cases (42. 5%, 42. 5%, and 15%, respectively). The Mean±, SD preoperative value of the sagittal vertebral axis was 43. 1±, 33. 1 mm, which improved to 24. 8±, 22. 3 mm after the surgery (P<0. 001). Also, the Mean±, SD preoperative value of the pelvic tilt significantly improved from 19. 2±, 10º,to 17±, 9. 1º,(P=0. 049). Moreover, the Mean±, SD score of the visual analog scale improved from 9. 1±, 0. 8 to 2. 8±, 1. 2 (P<0. 001). The clinical and Spinopelvic parameters greatly improved in patients with degenerative SLs, single-level SLs, and the lower grades of SL. Conclusion: Posterolateral fusion combined with Interbody fusion cage improves both the clinical and Spinopelvic parameters of SL patients and could be suggested as the treatment of choice for these patients.

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APA: Copy

GHANDHARI, HASAN, NIKOUEI, FARSHAD, Chehrassan, Mohammad Reza, Heidarikhoo, Mohamadreza, & Shakeri, mohammad Reza. (2020). Improvement of Spinopelvic Parameters Following the Surgical Treatment of Spondylolisthesis Using Interbody Fusion Cage. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), 7(4), 159-164. SID. https://sid.ir/paper/994966/en

Vancouver: Copy

GHANDHARI HASAN, NIKOUEI FARSHAD, Chehrassan Mohammad Reza, Heidarikhoo Mohamadreza, Shakeri mohammad Reza. Improvement of Spinopelvic Parameters Following the Surgical Treatment of Spondylolisthesis Using Interbody Fusion Cage. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL)[Internet]. 2020;7(4):159-164. Available from: https://sid.ir/paper/994966/en

IEEE: Copy

HASAN GHANDHARI, FARSHAD NIKOUEI, Mohammad Reza Chehrassan, Mohamadreza Heidarikhoo, and mohammad Reza Shakeri, “Improvement of Spinopelvic Parameters Following the Surgical Treatment of Spondylolisthesis Using Interbody Fusion Cage,” JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), vol. 7, no. 4, pp. 159–164, 2020, [Online]. Available: https://sid.ir/paper/994966/en

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