Transforaminal Lumbar Interbody Fusion Versus Instrumented Posterolateral Fusion in Grade I/II Spondylolisthesis

Overview

Journal Indian J Orthop

Publisher Springer Nature

Specialty Orthopedics

Date 2017 Apr 13

PMID 28400657

Citations 6

Authors

Shanmugasundaram Pooswamy

Niranjanan Raghavn Muralidharagopalan

Sivasubramaniam Subbaiah

Affiliations

Soon will be listed here.

Abstract

Background: Spondylolisthesis refers to slippage of one vertebra over the other, which may be caused by a variety of reasons such as degenerative, trauma, and isthmic. Surgical management forms the mainstay of treatment to prevent further slip and worsening. However, there is no consensus regarding the best surgical option to treat these patients. This study compares TLIF and instrumented PLF in patients with Grade I and II spondylolisthesis and analysis the outcome with respect to functional outcome, pain, fusion rate, adequacy of medial facetectomy for decompression, and complications.

Materials And Methods: Forty patients operated for spondylolisthesis by instrumented posterolateral or transforaminal fusion between January 1, 2010, and June 30, 2012 were included in this retrospective study. They were followed up for 3 years. Twenty one cases were of instrumented posterolateral fusion (PLF) and 19 cases were of transforaminal lumbar interbody fusion (TLIF). The patients were asked to fill up the Oswestry disability index (ODI), Dallas Pain Questionnaire (DPQ), and low back pain rating scale (LBPRS) preoperatively, at 1-month postoperatively, and at 6, 12, 24, and 36 months postoperatively. Radiological parameters were assessed using radiographs.

Results: No significant differences were found in DPQ, LBPRS, or ODI scores preoperative, 1-month postoperative, and at 6, 12, 24 and 36 months followup. No significant difference was found between the two groups in blood loss. The only significant difference between the two groups was in the operative time, in which the instrumented PLF group had a mean of 50 min lesser than the TLIF group ( = 0.02).

Conclusions: TLIF and instrumented PLF are equally efficacious options in the treatment of Grade I and II spondylolisthesis, except lytic type.

Citing Articles

Comparisons of oblique lumbar interbody fusion and transforaminal lumbar interbody fusion for degenerative spondylolisthesis: a prospective cohort study with a 2-year follow-up.

Wu J, Ao J, Xu Z, Li G, Ge T, Wang Y Front Surg. 2023; 10:1115823.

PMID: 37181603 PMC: 10172686. DOI: 10.3389/fsurg.2023.1115823.

Direct reduction of high-grade lumbosacral spondylolisthesis with anterior cantilever technique - surgical technique note and preliminary results.

Tu K, Shih C, Chen K, Pan C, Jiang F, Hsu C BMC Musculoskelet Disord. 2021; 22(1):559.

PMID: 34144679 PMC: 8214307. DOI: 10.1186/s12891-021-04439-7.

A ball-slide-type interbody distractor is effective in posterior reduction and internal fixation for patients with mid- to high-grade isthmic spondylolisthesis enrolled in a randomized clinical trial.

Li P, Zhao Z, Jia N, Wang L, Sun Z, Jin X Medicine (Baltimore). 2019; 98(47):e17947.

PMID: 31764794 PMC: 6882592. DOI: 10.1097/MD.0000000000017947.

Effect of interbody fusion cage on clinical and radiological outcome of surgery in L4-L5 lumbar degenerative spondylolisthesis.

Omidi-Kashani F, Jalilian R, Golhasani-Keshtan F J Spine Surg. 2018; 4(1):109-114.

PMID: 29732430 PMC: 5911758. DOI: 10.21037/jss.2018.03.17.

Postoperative Evaluation of Health-Related Quality-of-Life (HRQoL) of Patients With Lumbar Degenerative Spondylolisthesis After Instrumented Posterolateral Fusion (PLF): A prospective Study With a 2-Year Follow-Up.

Kapetanakis S, Gkasdaris G, Thomaidis T, Charitoudis G, Nastoulis E, Givissis P Open Orthop J. 2018; 11:1423-1431.

PMID: 29387287 PMC: 5748841. DOI: 10.2174/1874325001711011423.

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