Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.

Background: Spondylolysthesis represents a particular and relatively frequent mechanism of intervertebral instability. It could cause low back pain due to forward or anterior displacement of one vertebra in relation the adjacent lower vertebra. There are many treatment intervention. However, there w...

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Autores principales:	Abd Elhalim Moussa, Mohamed Ali, Mohamed Galal
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	spondylolysthesis pedicle screw posterolateral fusion transpedicular fixation Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/719d2bbdd8b44526a20ac18585608b27
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spelling	oai:doaj.org-article:719d2bbdd8b44526a20ac18585608b272021-12-02T10:38:27ZOutcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.2636-41742682-378010.21608/ijma.2020.20954.1054https://doaj.org/article/719d2bbdd8b44526a20ac18585608b272020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_82924_6a73ad7d1cac4ca36269f47a6c500b0f.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Spondylolysthesis represents a particular and relatively frequent mechanism of intervertebral instability. It could cause low back pain due to forward or anterior displacement of one vertebra in relation the adjacent lower vertebra. There are many treatment intervention. However, there was no consensus on the ideal approach. Aim of the work: To assess the outcome of trans-pedicular screw fixation with posterior inter-body fusion in management of lumber and lumbosacral Spondylolysthesis. Patients and methods: This is prospective study, included twenty patients who underwent surgical lumbar laminectomy and disc removal with lumbar pedicle screw fixation with inter body fusion for patients with Spondylolysthesis who failed conservative measures. Results: The mean preoperative visual analogue score (VAS) for pain was 7.75 ± 0.72 that decreased to 1.35 ± 0.59 at the end of postoperative sixth month, with statistically significant decrease. In addition, the majority of cases had no significant complications, although complication rate was 25%. Conclusion: Posterolateral fusion with pedicle Screws fixation minimizes dislocation, achieves adequate decompression, corrects the sagittal axis, and accomplishes fusion. We successfully achieved solid fusion with good mechanical alignment in majority of the patients.Abd Elhalim MoussaMohamed AliMohamed GalalAl-Azhar University, Faculty of Medicine (Damietta)articlespondylolysthesispedicle screwposterolateral fusiontranspedicularfixationMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 358-364 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	spondylolysthesis pedicle screw posterolateral fusion transpedicular fixation Medicine (General) R5-920
spellingShingle	spondylolysthesis pedicle screw posterolateral fusion transpedicular fixation Medicine (General) R5-920 Abd Elhalim Moussa Mohamed Ali Mohamed Galal Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.
description	Background: Spondylolysthesis represents a particular and relatively frequent mechanism of intervertebral instability. It could cause low back pain due to forward or anterior displacement of one vertebra in relation the adjacent lower vertebra. There are many treatment intervention. However, there was no consensus on the ideal approach. Aim of the work: To assess the outcome of trans-pedicular screw fixation with posterior inter-body fusion in management of lumber and lumbosacral Spondylolysthesis. Patients and methods: This is prospective study, included twenty patients who underwent surgical lumbar laminectomy and disc removal with lumbar pedicle screw fixation with inter body fusion for patients with Spondylolysthesis who failed conservative measures. Results: The mean preoperative visual analogue score (VAS) for pain was 7.75 ± 0.72 that decreased to 1.35 ± 0.59 at the end of postoperative sixth month, with statistically significant decrease. In addition, the majority of cases had no significant complications, although complication rate was 25%. Conclusion: Posterolateral fusion with pedicle Screws fixation minimizes dislocation, achieves adequate decompression, corrects the sagittal axis, and accomplishes fusion. We successfully achieved solid fusion with good mechanical alignment in majority of the patients.
format	article
author	Abd Elhalim Moussa Mohamed Ali Mohamed Galal
author_facet	Abd Elhalim Moussa Mohamed Ali Mohamed Galal
author_sort	Abd Elhalim Moussa
title	Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.
title_short	Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.
title_full	Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.
title_fullStr	Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.
title_full_unstemmed	Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.
title_sort	outcome of transpedicular screw fixation with posterior interbody fusion in management of spondylolysthesis.
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/719d2bbdd8b44526a20ac18585608b27
work_keys_str_mv	AT abdelhalimmoussa outcomeoftranspedicularscrewfixationwithposteriorinterbodyfusioninmanagementofspondylolysthesis AT mohamedali outcomeoftranspedicularscrewfixationwithposteriorinterbodyfusioninmanagementofspondylolysthesis AT mohamedgalal outcomeoftranspedicularscrewfixationwithposteriorinterbodyfusioninmanagementofspondylolysthesis
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Outcome of Transpedicular Screw Fixation with Posterior Interbody Fusion in Management of Spondylolysthesis.

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