Comparison of posterolateral fusion and posterior lumbar interbody fusion for treatment of degenerative spondylolisthesis: Analysis of spino-pelvic sagittal balance and postoperative chronic low back pain
•Both PLF and PLIF can improve clinical outcomes for degenerative spondylolisthesis.•PLIF can achieve better restoration of spino-pelvic sagittal balance parameters compared with PLF.•PLIF can lead to lower incidence of postoperative chronic low back pain than PLF. This study aims to compare the spi...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2018-08, Vol.171, p.1-5 |
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| creator | Yijian, Zhang Hao, Liu Huilin, Yang Bin, Pi |
| description | •Both PLF and PLIF can improve clinical outcomes for degenerative spondylolisthesis.•PLIF can achieve better restoration of spino-pelvic sagittal balance parameters compared with PLF.•PLIF can lead to lower incidence of postoperative chronic low back pain than PLF.
This study aims to compare the spino-pelvic sagittal balance and clinical outcomes of patients treated with posterolateral fusion (PLF) and posterior lumbar interbody fusion (PLIF) for degenerative spondylolisthesis.
A total of 72 patients (28 patients treated with PLF and 44 patients treated with PLIF) were studied. The spino-pelvic sagittal balance, Numerical Rating Scale (NRS), and Oswestry Disability Index (ODI) of the PLF and PLIF groups were compared. The incidence of postoperative chronic low back pain (improvement of NRS less than 50%) in the two groups was also recorded.
Significant restoration of spino-pelvic sagittal balance was observed in the PLIF group after surgery. Both groups achieved significant improvements in NRS and ODI postoperatively. Significant differences in postoperative lumbar lordosis and pelvic tilt were found between the PLF and PLIF groups. Significant difference in the incidence of postoperative chronic low back pain was also detected between the two groups.
PLF and PLIF can improve the clinical outcomes of patients with degenerative spondylolisthesis. PLIF can achieve better restoration of spino-pelvic sagittal balance parameters and less incidence of postoperative chronic low back pain than PLF. |
| doi_str_mv | 10.1016/j.clineuro.2018.04.020 |
| format | Article |
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This study aims to compare the spino-pelvic sagittal balance and clinical outcomes of patients treated with posterolateral fusion (PLF) and posterior lumbar interbody fusion (PLIF) for degenerative spondylolisthesis.
A total of 72 patients (28 patients treated with PLF and 44 patients treated with PLIF) were studied. The spino-pelvic sagittal balance, Numerical Rating Scale (NRS), and Oswestry Disability Index (ODI) of the PLF and PLIF groups were compared. The incidence of postoperative chronic low back pain (improvement of NRS less than 50%) in the two groups was also recorded.
Significant restoration of spino-pelvic sagittal balance was observed in the PLIF group after surgery. Both groups achieved significant improvements in NRS and ODI postoperatively. Significant differences in postoperative lumbar lordosis and pelvic tilt were found between the PLF and PLIF groups. Significant difference in the incidence of postoperative chronic low back pain was also detected between the two groups.
PLF and PLIF can improve the clinical outcomes of patients with degenerative spondylolisthesis. PLIF can achieve better restoration of spino-pelvic sagittal balance parameters and less incidence of postoperative chronic low back pain than PLF.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2018.04.020</identifier><identifier>PMID: 29800807</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Back pain ; Chronic low back pain ; Clinical outcomes ; Degenerative spondylolisthesis ; Incidence ; Low back pain ; Males ; Pain ; Patients ; Posterior lumbar interbody fusion ; Posterolateral fusion ; Spino-Pelvic sagittal balance ; Spondylolisthesis ; Studies ; Surgery</subject><ispartof>Clinical neurology and neurosurgery, 2018-08, Vol.171, p.1-5</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Limited Aug 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-ec15538c5631eb39c1ad55c7ec8c43578a5e48ef5136e0e41e3793e3eb02d2913</citedby><cites>FETCH-LOGICAL-c396t-ec15538c5631eb39c1ad55c7ec8c43578a5e48ef5136e0e41e3793e3eb02d2913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0303846718301604$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29800807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yijian, Zhang</creatorcontrib><creatorcontrib>Hao, Liu</creatorcontrib><creatorcontrib>Huilin, Yang</creatorcontrib><creatorcontrib>Bin, Pi</creatorcontrib><title>Comparison of posterolateral fusion and posterior lumbar interbody fusion for treatment of degenerative spondylolisthesis: Analysis of spino-pelvic sagittal balance and postoperative chronic low back pain</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>•Both PLF and PLIF can improve clinical outcomes for degenerative spondylolisthesis.•PLIF can achieve better restoration of spino-pelvic sagittal balance parameters compared with PLF.•PLIF can lead to lower incidence of postoperative chronic low back pain than PLF.
This study aims to compare the spino-pelvic sagittal balance and clinical outcomes of patients treated with posterolateral fusion (PLF) and posterior lumbar interbody fusion (PLIF) for degenerative spondylolisthesis.
A total of 72 patients (28 patients treated with PLF and 44 patients treated with PLIF) were studied. The spino-pelvic sagittal balance, Numerical Rating Scale (NRS), and Oswestry Disability Index (ODI) of the PLF and PLIF groups were compared. The incidence of postoperative chronic low back pain (improvement of NRS less than 50%) in the two groups was also recorded.
Significant restoration of spino-pelvic sagittal balance was observed in the PLIF group after surgery. Both groups achieved significant improvements in NRS and ODI postoperatively. Significant differences in postoperative lumbar lordosis and pelvic tilt were found between the PLF and PLIF groups. Significant difference in the incidence of postoperative chronic low back pain was also detected between the two groups.
PLF and PLIF can improve the clinical outcomes of patients with degenerative spondylolisthesis. PLIF can achieve better restoration of spino-pelvic sagittal balance parameters and less incidence of postoperative chronic low back pain than PLF.</description><subject>Back pain</subject><subject>Chronic low back pain</subject><subject>Clinical outcomes</subject><subject>Degenerative spondylolisthesis</subject><subject>Incidence</subject><subject>Low back pain</subject><subject>Males</subject><subject>Pain</subject><subject>Patients</subject><subject>Posterior lumbar interbody fusion</subject><subject>Posterolateral fusion</subject><subject>Spino-Pelvic sagittal balance</subject><subject>Spondylolisthesis</subject><subject>Studies</subject><subject>Surgery</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc9u1DAQxiMEokvhFapIXLhkGcex43CiWvFPqsQFzpbjTFovjh1sZ6t9Rx4KR7vbAxcutkfzm2_G8xXFDYEtAcLf77faGodL8NsaiNhCs4UanhUbItq64h0Xz4sNUKCVaHh7VbyKcQ8AlHLxsriqOwEgoN0Uf3Z-mlUw0bvSj-XsY8LgrcqnsuW4RJMTyg3njPGhtMvUq1Aal-PeD8cLNeZcCqjShC6tYgPeo8s6yRywjLN3w9F6a2J6wGjih_LWKXvMr5WNs3G-mtEejC6jujcp5f69ssppfBrAzxc5_RC8y6j1j5nSv8pZGfe6eDEqG_HN-b4ufn7-9GP3tbr7_uXb7vau0rTjqUJNGKNCM04J9rTTRA2M6Ra10A1lrVAMG4EjI5QjYEOQth1Fij3UQ90Rel28O-nOwf9eMCY5majR5mHRL1HW0DAKTctW9O0_6N4vIX98pTjlbcMFyxQ_UTr4GAOOcg5mUuEoCcjVb7mXF7_l6reERma_c-HNWX7pJxyeyi4GZ-DjCcC8j4PBIKM2mHc6mIA6ycGb__X4C1yJxhw</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Yijian, Zhang</creator><creator>Hao, Liu</creator><creator>Huilin, Yang</creator><creator>Bin, Pi</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201808</creationdate><title>Comparison of posterolateral fusion and posterior lumbar interbody fusion for treatment of degenerative spondylolisthesis: Analysis of spino-pelvic sagittal balance and postoperative chronic low back pain</title><author>Yijian, Zhang ; Hao, Liu ; Huilin, Yang ; Bin, Pi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-ec15538c5631eb39c1ad55c7ec8c43578a5e48ef5136e0e41e3793e3eb02d2913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Back pain</topic><topic>Chronic low back pain</topic><topic>Clinical outcomes</topic><topic>Degenerative spondylolisthesis</topic><topic>Incidence</topic><topic>Low back pain</topic><topic>Males</topic><topic>Pain</topic><topic>Patients</topic><topic>Posterior lumbar interbody fusion</topic><topic>Posterolateral fusion</topic><topic>Spino-Pelvic sagittal balance</topic><topic>Spondylolisthesis</topic><topic>Studies</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yijian, Zhang</creatorcontrib><creatorcontrib>Hao, Liu</creatorcontrib><creatorcontrib>Huilin, Yang</creatorcontrib><creatorcontrib>Bin, Pi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yijian, Zhang</au><au>Hao, Liu</au><au>Huilin, Yang</au><au>Bin, Pi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of posterolateral fusion and posterior lumbar interbody fusion for treatment of degenerative spondylolisthesis: Analysis of spino-pelvic sagittal balance and postoperative chronic low back pain</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2018-08</date><risdate>2018</risdate><volume>171</volume><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract>•Both PLF and PLIF can improve clinical outcomes for degenerative spondylolisthesis.•PLIF can achieve better restoration of spino-pelvic sagittal balance parameters compared with PLF.•PLIF can lead to lower incidence of postoperative chronic low back pain than PLF.
This study aims to compare the spino-pelvic sagittal balance and clinical outcomes of patients treated with posterolateral fusion (PLF) and posterior lumbar interbody fusion (PLIF) for degenerative spondylolisthesis.
A total of 72 patients (28 patients treated with PLF and 44 patients treated with PLIF) were studied. The spino-pelvic sagittal balance, Numerical Rating Scale (NRS), and Oswestry Disability Index (ODI) of the PLF and PLIF groups were compared. The incidence of postoperative chronic low back pain (improvement of NRS less than 50%) in the two groups was also recorded.
Significant restoration of spino-pelvic sagittal balance was observed in the PLIF group after surgery. Both groups achieved significant improvements in NRS and ODI postoperatively. Significant differences in postoperative lumbar lordosis and pelvic tilt were found between the PLF and PLIF groups. Significant difference in the incidence of postoperative chronic low back pain was also detected between the two groups.
PLF and PLIF can improve the clinical outcomes of patients with degenerative spondylolisthesis. PLIF can achieve better restoration of spino-pelvic sagittal balance parameters and less incidence of postoperative chronic low back pain than PLF.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29800807</pmid><doi>10.1016/j.clineuro.2018.04.020</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0303-8467 |
| ispartof | Clinical neurology and neurosurgery, 2018-08, Vol.171, p.1-5 |
| issn | 0303-8467 1872-6968 |
| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | Back pain Chronic low back pain Clinical outcomes Degenerative spondylolisthesis Incidence Low back pain Males Pain Patients Posterior lumbar interbody fusion Posterolateral fusion Spino-Pelvic sagittal balance Spondylolisthesis Studies Surgery |
| title | Comparison of posterolateral fusion and posterior lumbar interbody fusion for treatment of degenerative spondylolisthesis: Analysis of spino-pelvic sagittal balance and postoperative chronic low back pain |
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