Isthmic Spondylolisthesis Treated With Circumferential Arthrodesis Combining Anterior Lumbar Interbody Fusion With Posterolateral Fusion. About 150 Cases
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 87
- 试验地点
- 1
- 主要终点
- Fusion status
研究概览
简要总结
This study aims to evaluate clinical and radiological outcomes of isthmic spondylolisthesis surgically treated with combined approach. The goal is to demonstrate that it is a safe and efficient technique to treat isthmic spondylolisthesis. There is very little literature concerning this procedure.
详细描述
Isthmic spondylolisthesis can cause back and leg pain. If pain persists after well conducted medical management, a surgical treatment can be proposed. Even though the goal is consensual, there are plenty of ways to reach vertebral fusion: ALIF, PLIF, TLIF, Posterior fusion only, etc... This study aims to evaluate clinical and radiological outcomes of isthmic spondylolisthesis surgically treated with combined approach. The goal is to demonstrate that it is a safe and efficient technique to treat isthmic spondylolisthesis using standard XRays, CT Scan and patient reported outcome measurements. There is very little literature concerning this procedure.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients aged over 18 years
- •With isthmic spondylolisthesis at L4-L5 or L5-S1
- •Operated in our center with a double approach: Anterior lumbar interbody fusion then postero-lateral fusion
- •Consent for participation
排除标准
- •Pseudarthrosis L5-S1
结局指标
主要结局
Fusion status
时间窗: From 6 months to 1 year after surgery
Every patient has a CT-Scan of the lumbar spine done to check fusion status. The interpretation is made by the surgeon who did the surgery and one independent reviewer.
次要结局
- Restoration of the foraminal diameter(3 months and 1 year after surgery)
- Local Lordosis(3 months and 1 year after surgery)
- Correction of the spondylolisthesis-induced kyphosis after surgery(3 months and 1 year after surgery)
- Segmental lordosis(3 months and 1 year after surgery)
- Back pain(Pre-operative, 3 months and 1 year after surgery)
- Sciatica(Pre-operative, 3 months and 1 year after surgery)
- Complication rate(until 1 year after surgery)
- Disability(Pre-operative, 3 months and 1 year after surgery)