Lumbar Spondylolisthesis
Conditions
Brief summary
Laminectomy with PLIF has been shown to achieve satisfactory clinical outcomes, but it leads to potential adverse consequences associated with extensive disruption of posterior bony and soft-tissue structures. The investigators plan to compare the clinical and radiographic outcomes of bilateral decompression with transforaminal lumbar interbody fusion and laminectomy with posterior lumbar interbody fusion in the treatment of degenerative spondylolisthesis.
Interventions
Bilateral decompression of neural elements combined with TLIF
Decompression of neural elements using laminectomy combined with PLIF
Pedicle screw and interbody cage
Sponsors
Study design
Eligibility
Inclusion criteria
1. lumbar spondylolisthesis 2. symptoms of low back pain and/or neurogenic claudication with or without radiculopathy referable to the lumbar spine, 3. at least 3 months of failed conservative therapies
Exclusion criteria
1. multilevel lumbar degenerative diseases 2. history of previous lumbar surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fusion rate | 2 years postoperatively |
| visual analog scale for low back pain and leg pain | 2 years postoperatively |
| Oswestry disability index | 2 years postoperatively |
| Zurich claudication questionnaire | 2 years postoperatively |
| SF-36 score | 2 years postoperatively |
Secondary
| Measure | Time frame |
|---|---|
| Degree of spondylolisthesis measured by X ray | 2 years postoperatively |
| Disc space height measured by X ray | 2 years postoperatively |
| Lumbar lordosis measured by X ray | 2 years postoperatively |
| Surgery procedure duration | Intraoperation |
| Estimated blood loss | Intraoperation |
| Length of postoperative hospital stay | 1 week after hospital discharge |
| Complication | 2 years postoperatively |
Countries
China