Health Condition 1: null- 1 Patients with symptomatic lumbar spondylolisthesis not improving on 6 months of conservative management 2 Age- 18-60 years 3 Single level listhesis 4 Grade I or II listhesis Health Condition 2: M488- Other specified spondylopathies Health Condition 3: M992- Subluxation stenosis of neural canal Health Condition 4: M992- Subluxation stenosis of neural canal
Conditions
Interventions
Intervention1: Minimal Invasive Transforaminal Lumbar Interbody Fusion (MIS TLIF): Paramedian skin incisions will be placed 1- 2cm lateral to pedicles. Jamshidi needles will be placed at pedicle screw
Sponsors
Dr V V Ramesh Chandra
Eligibility
Inclusion criteria
Inclusion criteria: 1 Patients with symptomatic lumbar spondylolisthesis not improving on 6 months of conservative management 2 Patient age between 18-60 years 3 Single level listhesis 4 Grade I or II listhesis as per Meyerding classification
Exclusion criteria
Exclusion criteria: 1 Patients with osteoporosis/ Trauma. 2 Patients with high grade listhesis (III, IV). 3 Spondylolisthesis at L5-S1 level 4 Patients who are medically unfit for surgery. 5 Previous surgery at proposed treatment level. 6 Patients not consenting for surgery 7 Multiple level listhesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The intraoperative blood loss, Duration of the procedure, Amount of radiation exposure will be compared. CPK-MB ( Creatine Phospho Kinase - MB) and CRP ( C Reactive Protein) levels to know the iatrogenic muscle injury Post-operative MRI scan to know the multifidus atrophy. Analgesic dependence in terms days of requirement of analgesics. Fusion grading will be assesedTimepoint: First and Sixth month postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Score (VAS) and Oswestry Disability Index (ODI)Timepoint: First and Sixth month postoperatively | — |
Countries
India
Contacts
Public ContactDr Goutham Hanu T
Sri Venkateswara Institute of Medical Sciences
Outcome results
None listed