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Vendredi : 8h-16h30
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Interbody fusion versus posterolateral fusion in treatment of low grade lytic spondylolisthesis / Saad Gad Abdelkader in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)
[article]
Titre : Interbody fusion versus posterolateral fusion in treatment of low grade lytic spondylolisthesis Type de document : texte imprimé Auteurs : Saad Gad Abdelkader Année de publication : 2019 Article en page(s) : p. 269-273 Langues : Anglais (eng) Mots-clés : Fusion intersomatique Fusion postéro-latérale Spondylolisthésis lytique de bas grade Traitement Thérapeutique Résumé : This is a prospective randomized study to compare the outcome of two widely used fusion methods ; posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF) in treatment of adult low grade lytic spondylolisthesis to know which is ideal. 40 consecutive patients with single level lytic spondylolisthesis were randomly divided into two treatment groups when undergoing surgery. Blood loss and operative time were recorded. Patients were postoperatively assessed using JOA score. Union rate was assessed. They were followed up for a minimum of 2 years.
No differences were found between both groups as regards operative time and blood loss. At 2 years follow up, statistically significant improvement in JOA scores were found in both fusion groups. However, no difference could be found between the groups. Both groups showed solid fusion with no evidence of non-union in all cases.
Both methods appear to be equally effective in treatment of the condition.Permalink : ./index.php?lvl=notice_display&id=92197
in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 269-273[article] Interbody fusion versus posterolateral fusion in treatment of low grade lytic spondylolisthesis [texte imprimé] / Saad Gad Abdelkader . - 2019 . - p. 269-273.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 269-273
Mots-clés : Fusion intersomatique Fusion postéro-latérale Spondylolisthésis lytique de bas grade Traitement Thérapeutique Résumé : This is a prospective randomized study to compare the outcome of two widely used fusion methods ; posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF) in treatment of adult low grade lytic spondylolisthesis to know which is ideal. 40 consecutive patients with single level lytic spondylolisthesis were randomly divided into two treatment groups when undergoing surgery. Blood loss and operative time were recorded. Patients were postoperatively assessed using JOA score. Union rate was assessed. They were followed up for a minimum of 2 years.
No differences were found between both groups as regards operative time and blood loss. At 2 years follow up, statistically significant improvement in JOA scores were found in both fusion groups. However, no difference could be found between the groups. Both groups showed solid fusion with no evidence of non-union in all cases.
Both methods appear to be equally effective in treatment of the condition.Permalink : ./index.php?lvl=notice_display&id=92197 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtRadiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up / Sinan Karaca in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)
[article]
Titre : Radiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up Type de document : texte imprimé Auteurs : Sinan Karaca Année de publication : 2019 Article en page(s) : p. 247-252 Langues : Anglais (eng) Mots-clés : Vis pédiculaires Les patients ostéoporotiques Augmentation de ciment Ostéoporose Desserrage de la vis Fusion intersomatique Les patients ostéoporotiques âgés Extracteur de vis Résumé : T55 patients with cement-augmented pedicle screw were retrospectively analyzed. All patients underwent computed tomography at a minimum of 2 years after index operation. Computed tomography scans were analyzed to determine pedicle screw loosening, cement leakage, and fusion rates at augmented levels. The purpose of this study was to analyze the efficacy and complications of cement augmentation in elderly patients. Screw loosening occurred at fused levels in all patients, except one patient with pseudoarthrosis. All cases of screw loosening occurred at levels without interbody fusion. Extravasation of cement was performed in 7 (12.7%) patients and three (5.4%) patients had asymptomatic pulmonary cement emboli. Three (5.4%) patients had deep wound infection, and they were treated successfully with debridement and antibiotic therapy without need for instrument removal. Cement augmentation of PSs in elderly osteoporotic patients prevents screw pull-out. However, a very low rate of screw loosening may be seen at the levels without interbody fusion. Permalink : ./index.php?lvl=notice_display&id=92205
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 247-252[article] Radiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up [texte imprimé] / Sinan Karaca . - 2019 . - p. 247-252.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 247-252
Mots-clés : Vis pédiculaires Les patients ostéoporotiques Augmentation de ciment Ostéoporose Desserrage de la vis Fusion intersomatique Les patients ostéoporotiques âgés Extracteur de vis Résumé : T55 patients with cement-augmented pedicle screw were retrospectively analyzed. All patients underwent computed tomography at a minimum of 2 years after index operation. Computed tomography scans were analyzed to determine pedicle screw loosening, cement leakage, and fusion rates at augmented levels. The purpose of this study was to analyze the efficacy and complications of cement augmentation in elderly patients. Screw loosening occurred at fused levels in all patients, except one patient with pseudoarthrosis. All cases of screw loosening occurred at levels without interbody fusion. Extravasation of cement was performed in 7 (12.7%) patients and three (5.4%) patients had asymptomatic pulmonary cement emboli. Three (5.4%) patients had deep wound infection, and they were treated successfully with debridement and antibiotic therapy without need for instrument removal. Cement augmentation of PSs in elderly osteoporotic patients prevents screw pull-out. However, a very low rate of screw loosening may be seen at the levels without interbody fusion. Permalink : ./index.php?lvl=notice_display&id=92205 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt