Evidence map›Paper›PMID 26722140›Full record

ArticleIranian journal of medical sciences2016

Surgical Outcome of Reduction and Instrumented Fusion in Lumbar Degenerative Spondylolisthesis.

Farzad Omidi-Kashani, Ebrahim Ghayem Hassankhani, Reza Shiravani, Masoud Mirkazemi

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Article in Iranian journal of medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Farzad Omidi-KashaniOrthopedic Research Center, Department of Orthopedics, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Ebrahim Ghayem HassankhaniOrthopedic Research Center, Department of Orthopedics, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Reza ShiravaniStudent Research Committee, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Masoud MirkazemiStudent Research Committee, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumbar degenerative spondylolisthesis (LDS) is a degenerative slippage of the lumbar vertebrae. We aimed to evaluate the surgical outcome of degenerative spondylolisthesis with neural decompression, pedicular screw fixation, reduction, and posterolateral fusion.

methodsThis before-after study was carried out on 45 patients (37 female and 8 male) with LDS operated from August 2008 to January 2011. The patients' pain and disability were assessed by visual analogue scale (VAS) and Oswestry disability index (ODI) questionnaire. In surgery, we applied distraction force to facilitate slip reduction. All the intra- and postoperative complications were recorded. The paired t-test and Pearson correlation coefficient were used for statistical analysis.

resultsThe mean age of patients and mean follow-up period were 58.3±3.5 years and 31.2±4.8 months, respectively. The mean slip correction rate was 52.2% with a mean correction loss of 4.8%. Preoperative VAS and ODI improved from 8.8 and 71.6 to postoperative 2.1 and 28.7, respectively. Clinical improvement was more prominent in more reduced patients, but Pearson coefficient could not find a significant correlation.

conclusionAlthough spinal decompression with fusion and posterior instrumentation in surgical treatment of the patients with LDS result in satisfactory outcome, vertebral reduction cannot significantly enhance the clinical improvement.

Indexed as

InstrumentationLumbosacral regionSpinal fusionSpondylolisthesis

Identifiers

PMID26722140
PMCPMC4691264

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