Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2014  |  Volume : 27  |  Issue : 1  |  Page : 191-196

Posterolateral fusion versus posterior interbody fusion in adult lumbar isthmic spondylolisthesis

Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Al Kawm, Egypt

Correspondence Address:
Hosam A.M. Habib
MD, PhD, Department of Neurosurgery, Faculty of Medicine, Menoufia University, Shibin Al Kawm, 27 Dr. Sayed Fahmy St. Sidi Gaber Alexandria 21431
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.132800

Rights and Permissions

Objective The aim of this study is to assess and compare the outcomes of posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF) in adult isthmic spondylolisthesis. Background Both PLIF and PLF have been used widely in the treatment of lumbar degenerative spinal diseases. Although PLIF has theoretical and demonstrable advantages over PLF, many authors did not observe this and report that outcomes of both surgical methods are comparable. Materials and methods Fifty patients with lumbar spondylolisthesis were operated for isthmic spondylolisthesis complaining of low back pain with or without sciatica and neurogenic claudication. The patients were allocated randomly to two groups according to the mode of bony fusion into PLIF and PLF groups. The two groups were statistically similar with respect to demographic and clinical data. Results No significant differences were found between PLIF and PLF in blood loss, short-term postoperative clinical result, or complications, but the operation time was longer with PLIF. Postoperative long-term visual analogue scale (VAS) for back pain, the Oswestry disability index, and fusion rates were significantly better in PLIF. Conclusion PLIF seems to be a better bone fusion technique than PLF in the management of isthmic spondylolisthesis.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded199    
    Comments [Add]    

Recommend this journal