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Analytical comparison study of the clinical and radiological outcome of spine fixation using posterolateral, posterior lumber interbody and transforaminal lumber interbody spinal fixation techniques to treat lumber spine degenerative disc disease.

Al Barbarawi MM, Audat ZM, Allouh MZ - Scoliosis (2015)

Bottom Line: Among the groups.There was a vital decrease in the ODI scores over time (p < 0.005) but no major difference among the groups at different follow-up times.However, TILF may have better radiological outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuroscience/ Division of Neurosurgery, Level 7A. King Abdullah University Hospital, Jordan University of Science and Technology, Irbid-Amman Street, P.O.box 3030, Irbid, Jordan.

ABSTRACT

Background: Degenerative disc disease is a common cause of chronic and disabling back pain that requires surgical intervention, posterolateral and posterior instrumental fixation (PLF), posterior lumber interbody fusion (PLIF) and transforaminal lumber interbody fusion (TLIF) are the techniques used to deal with such a problem.

Objective: To compare the clinical and radiological outcome of the variable surgical techniques used to deal with Lumber degenerative disc disease and to recommend the technique of choice.

Methods: 120 patients were treated between 2003 and 2010 at king Abdullah university hospital for lumber disc disease. The patients were divided into three groups: Group I (PLF n = 30 [59 levels]); Group II (PLIF n = 40 [70 levels]); and Group III (TLIF n = 50 [96 levels]). All patients had the same pre- and postoperative clinical and radiological evaluations (using Stanford score and local criteria and Oswestry Disability Index [ODI],). All cases had three months and then yearly for five years follow ups.

Results: There was no observed difference in the rates of intra-operative complications (Group I: 10 %; Group II: 8 %; Group III: 14 %; p = 0.566) and postoperative complications (Group I: 13.3 %, Group II:17.5 %, Group III: 18 % with p = 0.332). Among the groups. There was a vital decrease in the ODI scores over time (p < 0.005) but no major difference among the groups at different follow-up times. Radiographic fusion rates for Groups I, II and III were 90 %, 92.5 % and 94 %, respectively.

Conclusions: The surgical outcome of PLF, PLIF and TLIF used to treat degenerative disc disease is almost similar, there is no significant differences observed in complications and clinical outcomes. However, TILF may have better radiological outcome.

No MeSH data available.


Related in: MedlinePlus

The demographic distribution of all cases in each group based on the provisional criteria at different follow-up times. After three months
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Fig1: The demographic distribution of all cases in each group based on the provisional criteria at different follow-up times. After three months

Mentions: The demographic distribution of all cases in each group based on the provisional criteria at different follow-up times is shown in (Figs. 1, 2 and 3). While (Figs. 4 and 5) shows the change in ODI and Stanford scores over time in the three groups. The Pre-operatively ODI score was not significantly different among the three groups (p = 0.547) . While there was a significant decrease in the ODI score over time in the three groups with substantial p-value (p-value for trend < 0.005), with trivial difference in the change in the mean ODI among them at different follow-up times.Fig. 1


Analytical comparison study of the clinical and radiological outcome of spine fixation using posterolateral, posterior lumber interbody and transforaminal lumber interbody spinal fixation techniques to treat lumber spine degenerative disc disease.

Al Barbarawi MM, Audat ZM, Allouh MZ - Scoliosis (2015)

The demographic distribution of all cases in each group based on the provisional criteria at different follow-up times. After three months
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4487990&req=5

Fig1: The demographic distribution of all cases in each group based on the provisional criteria at different follow-up times. After three months
Mentions: The demographic distribution of all cases in each group based on the provisional criteria at different follow-up times is shown in (Figs. 1, 2 and 3). While (Figs. 4 and 5) shows the change in ODI and Stanford scores over time in the three groups. The Pre-operatively ODI score was not significantly different among the three groups (p = 0.547) . While there was a significant decrease in the ODI score over time in the three groups with substantial p-value (p-value for trend < 0.005), with trivial difference in the change in the mean ODI among them at different follow-up times.Fig. 1

Bottom Line: Among the groups.There was a vital decrease in the ODI scores over time (p < 0.005) but no major difference among the groups at different follow-up times.However, TILF may have better radiological outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuroscience/ Division of Neurosurgery, Level 7A. King Abdullah University Hospital, Jordan University of Science and Technology, Irbid-Amman Street, P.O.box 3030, Irbid, Jordan.

ABSTRACT

Background: Degenerative disc disease is a common cause of chronic and disabling back pain that requires surgical intervention, posterolateral and posterior instrumental fixation (PLF), posterior lumber interbody fusion (PLIF) and transforaminal lumber interbody fusion (TLIF) are the techniques used to deal with such a problem.

Objective: To compare the clinical and radiological outcome of the variable surgical techniques used to deal with Lumber degenerative disc disease and to recommend the technique of choice.

Methods: 120 patients were treated between 2003 and 2010 at king Abdullah university hospital for lumber disc disease. The patients were divided into three groups: Group I (PLF n = 30 [59 levels]); Group II (PLIF n = 40 [70 levels]); and Group III (TLIF n = 50 [96 levels]). All patients had the same pre- and postoperative clinical and radiological evaluations (using Stanford score and local criteria and Oswestry Disability Index [ODI],). All cases had three months and then yearly for five years follow ups.

Results: There was no observed difference in the rates of intra-operative complications (Group I: 10 %; Group II: 8 %; Group III: 14 %; p = 0.566) and postoperative complications (Group I: 13.3 %, Group II:17.5 %, Group III: 18 % with p = 0.332). Among the groups. There was a vital decrease in the ODI scores over time (p < 0.005) but no major difference among the groups at different follow-up times. Radiographic fusion rates for Groups I, II and III were 90 %, 92.5 % and 94 %, respectively.

Conclusions: The surgical outcome of PLF, PLIF and TLIF used to treat degenerative disc disease is almost similar, there is no significant differences observed in complications and clinical outcomes. However, TILF may have better radiological outcome.

No MeSH data available.


Related in: MedlinePlus