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Corresponding Author

Kamal Abdul-Malik Ali Mohamed

Document Type

Original Article

Abstract

Background: lumbosacral spondylolisthesis is a common pathology characterized by single or multi-level slippage of lumbar vertebra over the other and may be associated with spinal canal stenosis and neural foramina compromization and may be presented by lower back pain, radicular pain, or neurogenic claudication pain. For the management of lumbar spondylolisthesis, a number of surgical techniques have been suggested, however there is still debate about the best surgical approach, Aim and objectives; to evaluate the effectiveness of posterior interbody fusion by cage with transpedicular screws fixation in the treatment of lumbar spondylolysthesis, Subjects and methods; This was Prospective and Retrospective study, conducted on 25 cases with lumbar spondylolisthesis at Al-Azhar University hospitals and Damanhur Medical Institute hospital. All cases were subjected to: History and clinical examination, Investigation by X-ray dynamic study, MRI lumbosacral Spain study, and Surgical techniques, Results; There was statistically significant improvement in post-operative pain (after 1 week and after 6 months) of VAS score compared to preoperative VAS, Conclusion; Spondylolisthesis is managed mainly surgical in case of failure of conservative treatment. Trans-pedicular fixation with inter-body fusion is an efficient method for the treatment of spondylolisthesis. Partial reposition of spondylolisthesis with neural decompression makes it possible to avoid neurological complications.

Keywords

Lumbar interbody cage; PLIF; Spondylolisthesis

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