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Prof. Mohamad Gamal El Deen Al Ashhab :: Publications:

Title:
The outcome of using a single cage in posterior lumbar interbody fusion in management of lumbar instability
Authors: H.S.Shoukry, M.M. El Karamany, A.I.Bakr, M.G. El Ashhab, G.H. Kazem
Year: 2023
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: Local
Paper Link: Not Available
Full paper Mohamad Gamal El Deen Al Ashhab_paper PLIF.docx
Supplementary materials Not Available
Abstract:

Posterior Lumbar Interbody Fusion have standed the test of time as an effective method for managing lumbar instability. This study aimed to asses and evaluate the outcome of using a single cage in posterior lumbar interbody fusion as a surgical treatment modality for symptomatic lumbar instabilities. The study include 20 patients, 9 were males (45 %) but 11 were females (55%). Mean of age was 53 ±14, the mean BMI was 28.5. About one-quarter were smokers (25.0%). All patients had leg pain, and most of them (85%) had back pain. more than half of the studied patients showed L5/S1 affection. About one-third showed L4/5 affection. Only 10% and 5% showed L3/4 and L2/3 affection. VAS score of leg pain showed an overall significant difference. Oswestry Disability Index (ODI) score showed an overall significant difference. Post-operative complication showed that two patients showed cage posterior migration. One patient showed screw malposition, and one patient showed superficial infection. The Patients’ satisfaction reported that most patients (70.0%) reported excellent outcomes. Only 20% and 10% reported good or fair outcomes. Single cage in posterior lumbar interbody fusion for treatment of lumbar instability enables sufficient decompression and produce satisfactory clinical outcomes and radiological outcomes.

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