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Scholars Journal of Applied Medical Sciences | Volume-9 | Issue-10
Outcome of Fixation of Spondylolisthesis Grade I and Fusion with Bone Graft without Metallic Cage, Experiences in Private Hospitals
Dr. Md Mizanur Rahman, Dr. Md Mahfuzur Rahman, Dr. Sajedur Reza Faruquee, Dr. Mohammad Sadequr Rahman
Published: Oct. 24, 2021 | 129 98
DOI: 10.36347/sjams.2021.v09i10.020
Pages: 1591-1594
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Abstract
Background: Hard working people seldomly suffer from backpain may caused from spondylolisthesis. Objectives: The purpose of the present study was to find out the Clinical results and Status of radiological fusion of spondylolisthesis in Lumbar Spine. Methodology: This cross-sectional study was conducted at two private Hospitals, Islami Bank Hospital, Motijheel and Islamia General Hospital, Jatrabari, Dhaka, Bangladesh from January 2013 to June 2017for a period of 4.5 years and average follow up period is 5 years. Patients with diagnosed cases of Spondylolisthesis irrespective of age and sex were selected as study population. An elaborate history of the selected patient was taken with an emphasis of occupation, time of symptoms, past history of hard working. Inclusion criteria was unstable, degenerative spondylolisthesis grade I irrespective of age and sex, not previously treated by surgery and did not use metallic cages are recruited in this Study. Exclusion criteria was grade II and above grade, traumatic spondylolisthesis, previously surgically treated patients and planning to use metallic cage. Every patient was treated by fixation of listhetic spines, decompression by laminectomy and giving autogenous bone graft from spinous process and lamina without metallic cages. Result: A total number of 40 patients with Spondylolisthesis in lumbar spine were recruited. Out of 40 patients, 32(80%) patients were in the age group of 31-60 years that is active age group, The mean age was 45.92 years. Immediate post operative pain relief Significant and moderate (28+11) 97.5%, Post operative Radiating pain Improves almost Nil and mild (31+8) 97.5%, after six months follow up post operative radiological fusion achieved (36) 90%. Conclusion: In the management of unstable, degenerative spondylolisthesis grade I, Fixation, Decompression and putting autogenous bone graft without metallic cage is good option of treatment.