Comparison of Transpedicular Fixation with Fusion with Transpedicular Fixation Alone in Spondylolisthesis


  • Muhammad Idris Khan
  • Adnan Munir
  • Sajjad Ullah
  • Farooq Sherzada
  • Haider Ali Khan
  • Syeda Farwah



Fusion procedures, Lumbar Spine


Objective:  This research evaluated the clinical outcomes of two surgical methods used to treat degenerative lumbar spondylolisthesis in the short term. Fixation through the pedicles with or without inter-body fusion. Utilizing a spinal cage for first- and second-degree condition patients is one of the two methods being compared.

Materials & Methods:  A total of 28 individual lumbosacral spondylolisthesis were incorporated in the research. Based on the surgical method and fixation technique employed for their care, they were split into two groups at random. Posterolateral intertransverse bone fusion, transpedicular screw fixation, and posterior lumbar decompression operations were performed on Group A. Conversely, Group B underwent posterolateral interbody fusion via the implantation of interbody cages, transpedicular screws, and posterior decompression.

Results:  There existed no statistically significant association in terms of the two groups that is intraoperative and postoperative complications, clinical outcomes, and patient satisfaction, while noteworthy significance was observed about blood loss and rates of post-operative fusion.

Conclusion:  Incorporating a spinal implant in conjunction with transverse body fusion results in superior fusion rates and post-operative clinical improvements, while intertransverse bony fusion alone yields comparable patient satisfaction with reduced surgical times.


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