Curb the Pain of Spondylolisthesis; Comparing Posterolateral Fusion with Posterior Lumbar Interbody Fusion

Alijani, Babak; Emamhadi, Mohammadreza; Behzadnia, Hamid; Azar, Maziar; Kazemnejad-Leili, Ehsan; Yousefzadeh-Chabok, Shahrokh; Razzaghi, Alireza; Aramnia, Ali

doi:10.18869/acadpub.irjns.1.2.22

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

‎ 10.18869/acadpub.irjns.1.2.22

PMCID: 27548582

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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

Curb the Pain of Spondylolisthesis; Comparing Posterolateral Fusion with Posterior Lumbar Interbody Fusion

Babak Alijani¹

, Mohammadreza Emamhadi²

, Hamid Behzadnia¹

, Maziar Azar²

, Ehsan Kazemnejad-Leili³

, Shahrokh Yousefzadeh-Chabok⁴

, Alireza Razzaghi⁵

, Ali Aramnia ^*

⁶

1- MD, Assistant Professor of Neurosurgery, Neurosurgery Department, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran
2- MD, Associate Professor of Neurosurgery, Neurosurgery Department, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran
3- Ph.D, Associate Professor of Biostatistics, Guilan University of Medical Sciences, Rasht, Guilan, Iran
4- M.D, Professor of Neurosurgery, Guilan Road Trauma Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran
5- MSc in Epidemiology, Guilan Road Trauma Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran
6- MD, Chief Resident of Neurosurgery, Neurosurgery Department, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran

Abstract: (5999 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.

Keywords: Spondylolisthesis, Fusion, Pain, Isthmic, Degenerative

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Type of Study: Research | Subject: Gamma Knife Radiosurgery

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