Volume 1, Issue 2 (12-2015)                   Iran J Neurosurg 2015, 1(2): 22-26 | Back to browse issues page


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Alijani B, Emamhadi M, Behzadnia H, Azar M, Kazemnejad-Leili E, Yousefzadeh-Chabok S, et al . Curb the Pain of Spondylolisthesis; Comparing Posterolateral Fusion with Posterior Lumbar Interbody Fusion. Iran J Neurosurg. 2015; 1 (2) :22-26
URL: http://irjns.org/article-1-11-en.html
Abstract:   (1952 Views)

Background & Aim: The purpose of this study was to evaluate and compare the pain of patients with spondylolisthesis who had undergone either of the surgery techniques: posterolateral fusion (PLF) or posterior lumbar interbody fusion (PLIF). Methods & Materials/Patients: In a prospective observational study, 102 surgical candidates with low grade degenerative and isthmic spondylolisthesis were enrolled from 2012 to 2014. The observed patients were into two groups: PLF and PLIF. Assessing of pain has been done by a questionnaire using Visual Analogue Scale (VAS) scores. The questionnaire was completed by all patients before surgery, the day after surgery, after six months and after one year. Results: There were no statistically significant differences in terms of age and sex distribution, type of spondylolisthesis and pre-operation pain between groups (p>0.05). Comparison of the mean VAS scores of two groups over the whole study period showed a significant statistical difference (p-value<0.05), although comparison of VAS at three points in time showed a mixed result. VAS scores showed no significant differences between two groups before surgery, the day after surgery and one year after surgery (p>0.05), but the difference of mean VAS scores between groups 6 months after surgery was statistically significant (p<0.05). Analyzing the course of VAS scores over the study period showed a descending pattern for either of the groups (p<0.0001). Conclusion: Both surgical fusion techniques (PLF & PLIF) showed to be effective in treating low grade degenerative and isthmic spondylolisthesis, but PLIF was related to better outcome with respect to pain control.

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Type of Study: Research | Subject: Gamma Knife Radiosurgery
* Corresponding Author Address: *Corresponding Author Address: Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran. Tel: +981333338373, Fax: +981333338373. E-mail:Aliaram79@gmail.com

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