Lumbar fusion, degenerative disease lumbar spine, lumbar instability, spondylolisthesis, cost effectiveness, quality of life. Lumbale fusie, degeneratieve lumbale wervelkolom, lumbale instabiliteit, spondylolisthesis, kosten effectiviteit, kwaliteit van leven.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Indication for TLIF (transforaminal lumbar interbody fusion) of PLIF (posterior lumbar interbody fusion) surgery. - Clinical mono uni-or bilateral lumbar radiculopathy or intermittent neurogenic claudication caused by a single level isthmic, degenerative or iatrogenic spondylolisthesis gr I, II or III according to Meyerding classification at level L3L4, L4L5 or L5S1. - Age over 18 years. - Single level spondylolisthesis with central or foraminal stenosis on MRI (or CT), of which the anatomical level is corresponding to the clinical syndrome. - Psychosocially, mentally, and physically able to fully comply with this study protocol. - Informed consent prior to this study.
Exclusion criteria
Exclusion criteria: - Previous radiotherapy at the intended surgical level. - (Progressive) motor failure and/or anal sphincter disorders which urges instant intervention. - Active infection. - Immature bone (ongoing growth). - Active malignancy. - Pregnancy. - Symptomatic osteoporosis. - Contra-indications for anaesthesia or surgery. - Inadequate command of the Dutch language.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in disability measured by the change in Oswestry Disability Index (ODI) and changes in quality-adjusted life years (QALYs) measured with EQ-5D-DL. | — |
Secondary
| Measure | Time frame |
|---|---|
| Short Form (36) Health Survey, VAS back pain and leg pain, Hospital Anxiety Depression Scale (HADS), complications, productivity losses costs (iPCQ), medical costs (iMCQ), valuation of informal care (iVICQ) | — |
Contacts
Zuyderland medical center Heerlen, Neurosurgery