Spinal Fusion
Conditions
Keywords
spine fusion, minimally invasive surgery
Brief summary
A study that compares between Open TLIF and Minimally invasive TLIF regarding patients' functional status(Oswestry Disability index)as a primary outcome measure.
Detailed description
The first randomized controlled trial comparing minimally invasive TLIF and open TLIF.
Interventions
Spinal fusion procedure through the intervertebral foramen
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults more than 18 years of age and less than 65 years of age.. * Degenerative or isthmic spondylolithesis Grade 1,2 and 3. * Recurrent Symptomatic recurrent lumbar disc prolapsed with or without evident neural compression. * Single level pathology involving L2-3, L3-4, L4-5 and or L5-S1. * Symptoms not responding to conservative treatment for at least 3 months.
Exclusion criteria
* Previous spinal fusion or instrumentation. * Spinal tumours, infection and fractures. * Patients with severe osteoporosis * BMI more than 35. * Non-ambulant patients and patients with severe preoperative neurological affection (Cauda Equina Syndrome) * Patients not willing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Disability index(Arabic version) 1 month | 1 month | an index derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| • Fusion rate as assessed by Bridwell fusion score. | 1 year | Grade I is defined as fusion with remodelling and trabeculae present; Grade II is an intact graft with incomplete remodelling and no lucency present; Grade III is an intact graft with potential lucency at the cranial or caudal end; Grade IV is absent fusion with collapse/resorption of the graft. |