Department of Orthopaedics, Dhaka Medical College Hospital, Dhaka, Bangladesh
Research Article
Spondylolisthesis at L4/5 but Fixation of L4, L5 and S1 Reduces the Rate of Adjacent Segment Degeneration
Author(s): Anowarul Islam*, Shohidullah, Sarwar Rahman and Wayez Mahbub
Study background: Adjacent segment disease (ASD) is a common phenomenon seen in patients who have undergone prior lumbar fusion
surgery is characterized by degeneration and/or stenosis. Treatment for ASD includes extension of the fusion with a posterior approach, with direct
decompression of the neural elements when indicated.
Methods: 54 patients of spondylolisthesis involving L4/5 level were included in this study that were operated from January 2012 to December 2020
in Bangabandhu Sheikh Mujib Medical University and few private hospital in Dhaka who failed to respond in conservative treatment. 30 patients
were male and 24 were female. patients were evaluated by clinical finding (low back pain, sensory, motor and jerks) VAS score, ODI score, JOA
score, modified Macnab’s criteria, claudication distance, X-ray lumbosa.. Read More»
DOI:
10.37421/2165-7939.2021.10.490
Journal of Spine received 2022 citations as per Google Scholar report