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Corresponding Author

Mohammed Abd-El Aziz Mohammed

Document Type

Original Article

Abstract

Background: Grade Spondylolisthesis is considered a challenge for neurosurgeons because many surgical strategies have been accepted, but no absolute strategy has been described, and it is becoming increasingly complex.

Objectives: To assess the long segment lumbar fixation as a surgical treatment for high-grade lumbar spondylolisthesis and its impact on patient's complaints, neurological deficits, and radiological findings.

Patients and methods: This prospective research conducted on 25 cases with lumbar spondylolisthesis (high grade) according to meyerding classification with grades (IV, V, Spondyloptosis) underwent long segment transpedicular lumbar fixation started from March 2021 to June 2023 in Al Azhar university hospitals ( Al Hussien hospital) and Nasser institute for medical treatment and research.

Results: Twenty five patients were enrolled in our research with three male cases (12.0%) and 22 female patients (88.0%). In the majority of cases, back and radicular pain improved, and there was statistically significant enhancement in back and radicular pain according to VAS score where P <0.001, and claudication pain showed statistical significance where P <0.001. There were two patients (8.0%) who had no change in neurological deficit from the pre-operative setting of the studied group. There was a statistically significant enhancement in Sensations and Sphincters where P <0.001 and<0.004.

Conclusion: Although different surgical techniques were accepted as a treatment for high-grade lumbar spondylolisthesis, long-segment transpedicular lumbar fixation showed improvement regarding patients' complaints of decreased VAS for both back and radicular pain and satisfactory outcomes with less complication rate.

Keywords

Long Segment Fixation, High grade Spondylolisthesis, Meyerding classification

Subject Area

Neurosurgery

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