IP Indian Journal of Neurosciences

Khyati Education And Research Foundation

Email : editor@khyatieducation.org
Registered Under Government of India NGO – Indian Trust Act 1882

Evaluation of surgery in degenerative spondylolisthesis: a non randomized controlled trial

Article : Open access

Article type : Research Article

Volume : 6

Issue : 1

Year : 2020

Author : Thokchom Gojendra Singh, Brahmacharimayum Bobby Sarma, Nongthombam Hemanta Kumar Singh, Nongthombam Ratan Singh, Laithangbam PKS

Page no : 25-29

Abstract : Introduction: Although, the non operative treatment modalities of degenerative spondylolisthesis remained relatively unchanged during the past two decades, the number of surgical options has increased rapidly over the same period. The optimal surgical technique to treat symptomatic spondylolisthesis has not been determined. Materials and Methods: In this prospective, non-randomizedstudy, 56 patients of degenerative spondylolisthesis who have failed to conservative treatment for a minimum period of 3 months were subjected to surgery (decompressive laminectomyplus posterolateral instrumentation with pedicle screwsplus intertransverse process arthrodesis with autologous bone graft) to compare the intensity of pain and degree of disability pre-operatively and post operatively at six months follow up using self-administered questionnaire and radiological assessment. Results: The degree of spondylolisthesis was reduced post operatively (23.11% vs15.19%; p on visual analogue scale was also reduced post operatively (7.52 0.68 vs 0.300.74; p disabilities including paresthesia(16.1% vs 1.8%), hypoesthesia (48.2% vs 32.1%), weakness (48.2% vs 28.6%), stiffness(7.1% vs 0), and urinary symptoms (12.5% vs 1.8%) were also significantly (p reduced postoperatively. Cocnclusion: Surgical treatment including decompression,posterolateral fusion and arthrodesis offers a great benefit in degenerative spondylolisthesis. Keywords: Surgical treatment, Decompression, Posterolateral fusion, Arthrodesis, Spondylolisthesis.