Rakesh, S (2014) A Prospective study of short term clinical and radiological analysis of lumbar interbody fusion for degenerative disc disease and spondylolisthesis. Masters thesis, Kilpauk Medical College, Chennai.
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Abstract
AIM OF THE STUDY: To study the pattern and morphology of degenerative disc disease and spondylolisthesis and outcome of lumbar interbody fusion in the selected group of patients fulfilling the criteria. MATERIALS AND METHODS: The study was conducted in 30 consecutive patients with degenerative disc disease or isthmic or degenerative spondylolisthesis who came to the out patient department of Government Royapettah Hospital, Chennai. The Study is Prospective study from May 2011- October 2013. 14 months follow up was done in each case. The percentage of radiological union was found to be 63.3%. RESULTS: The mean operating time, from the surgical incision to wound closure, was 3.5 hours. The mean blood loss was 237ml. The post op pain relief was drastic and significant as evidenced by the improvement in the postop VAS score at 14th month as indicated by a “p value” < 0.000 1. Improvement in quality of life, as assessment, based on the T Test comparing pre and postop Oswestry Disability Score (ODS) and Oswestry Disability Index (ODI), was statistically significant, showing reduction in Oswestry Disability index and score postoperatively, indicating significant improvement in the quality of life. CONCLUSION: A black degenerated disc if associated with disc space narrowing, or a case of spondylolisthesis, not responding to conservative methods are indications for PLIF. We would suggest PLIF technique supplemented with bone grafting as an ideal technique in spondylolisthesis and degenerative disc disease in view of results and low complication rate.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | short term clinical and radiological analysis ; lumbar interbody fusion ; degenerative disc disease ; spondylolisthesis ; Prospective study. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 16 Sep 2017 19:07 |
| Last Modified: | 16 Sep 2017 19:07 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2994 |
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