Bone Graft Alone Versus Cage with Bone Graft in Lumbar Spine Interbody Fusion.

Elaswed, Husien Mohammed; Abdelbary, Tarek Hassan; Salma, Hosni Hassan; Arnaout, Mohamed Medhat

doi:10.21608/zumj.2019.16551.1482

Bone Graft Alone Versus Cage with Bone Graft in Lumbar Spine Interbody Fusion.

Document Type : Original Article

Authors

¹ Neurosurgery, Faculty of Medicine, Zagazig University

² Faculty of Medicine, Zagazig University, head of Department of Neurosurgery, Sharkia Egypt

³ Faculty of Medicine, Zagazig University, Department of Neurosurgery, Sharkia Egypt

10.21608/zumj.2019.16551.1482

Abstract

Abstract:
Background: Posterior lumbar interbody fusion (PLIF) is a fusion technique with reliable and rapid fusion results. This prospective, controlled, randomized clinical study critically
compared the clinical and radiological outcomes in patients surgically treated by
PLIF with bone graft alone versus those treated by PLIF with cage with bone graft.
Objectives: The purpose of the current study is to asses the safety and efficacy of lumbar interbody fusion.Also,direct comparison of both materials in terms of clinical and radiological outcomes. Patients & Methods: In the period between November, 2018 and July, 2019, 24 cases of degenerative lumbar spine disorder selected according to the inclusion and exclusion criteria for posterior lumbar interbody fusion. Results: The follow-up period was 9 months. Pain and functional VAS scores showed marked improvement. from 7.1to 2.25 in group I (bone graft alone), while Group II (cage with bone) decreased from 7.5 to 2. The mean Oswestry Disability Index decreased from 45 to 18 in group I, while group II decreased from 51 to 22. The fusion rate was 83.3% in the first group and 91.7% in the second group. There was no statistically significant between both groups. In both groups, changes in disc height, and whole lumbar lordosis between the pre-and postoperative periods were significant in both groups.Conclusions: Both techniques after PLIF produced satisfying clinical and radiological outcomes such as maintaining the proper intervertebral disc space restore lumbar lordosis, good boney union, rigid stability and a high fusion rate. but no statistical difference between both groups.

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