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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 181-187
DOI: 10.4103/ajns.AJNS_156_18
Original Article

Clinical, functional, and radiologic outcome of single- and double-level transforaminal lumbar interbody fusion in patients with low-grade spondylolisthesis

Keyvan Eghbal
Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz
,
Babak Pourabbas
1   Department of Orthopedics, Shiraz University of Medical Sciences, Shiraz
,
Hamid Abdollahpour
1   Department of Orthopedics, Shiraz University of Medical Sciences, Shiraz
,
Reza Mousavi
Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz
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Objective: The main objective is to determine the functional, clinical, and radiological outcome of patients with low-grade spondylolisthesis undergoing single- or double-level transforaminal lumbar interbody fusion (TLIF). Materials and Methods: This quasi-interventional study was conducted during a 2-year period from 2016 to 2018 in Shiraz, Southern Iran. We included all the adult (≥18 years) patients with low-grade spondylolisthesis (Meyerding Grade I and II) who underwent single- or double-level TLIF in our center. The spinopelvic parameters including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), and segmental LL (SLL) were measured. The pain intensity and disability were measured utilizing the visual analog scale (VAS) for back and leg pain and Oswestry Disability Index (ODI), respectively, after 1 year. Results: Overall, we included a total number of 50 patients with mean age of 54.1 ± 10.48 years. After the surgery, the PI (P = 0.432), PT (P = 0.782), and SS (P = 0.466) were not found to be statistically changed from the baseline. However, we found that single- or double-level TLIF was associated with increased LL (P < 0.001) and SLL (P < 0.001). Regarding the clinical outcome measures, both back (P = 0.001) and leg (P < 0.001) VAS improved after the surgery significantly. In addition, we found that improved leg VAS was positively correlated with improved ODI (r = 0. 634; P < 0.001). Conclusion: Single- or double-level TLIF is associated with increased global and SLL along with improved leg and back pain and disability in patients with low-grade spondylolisthesis. Interestingly, improved leg pain is correlated to improved disability in these patients.

Key-words:

Lumbar lordosis - pelvic incidence - sacral slope - spondylolisthesis - transforaminal interbody lumbar fusion

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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