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Transforaminal Lumbar Interbody Fusion Using Wedged Cages for Isthmic Spondylolisthesis : A Short-Term Radiological Analysis
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  • Transforaminal Lumbar Interbody Fusion Using Wedged Cages for Isthmic Spondylolisthesis : A Short-Term Radiological Analysis
  • Transforaminal Lumbar Interbody Fusion Using Wedged Cages for Isthmic Spondylolisthesis : A Short-Term Radiological Analysis
저자명
Lee. Dong-Yeob,Lee. Sang-Ho,Lee. Han-Soon
간행물명
Journal of Korean neurosurgical society
권/호정보
2006년|40권 5호|pp.346-350 (5 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Objective : The ability to induce segmental lordosis has been reported to be marginal with transforaminal lumbar interbody fusion[TLIF]. Therefore, we analyzed the short-term radiological outcomes of TLIF using $8^{circ}$ wedged cages for isthmic spondylolisthesis. Methods : Twenty-seven patients with isthmic spondylolisthesis who underwent single level TLIF with pedicle screw fixation[PSF] using $8^{circ}$ wedged cages were retrospectively evaluated. Changes in disc height, degree of anterolisthesis, segmental lumbar lordosis, whole lumbar lordosis and L1 axis S1 distance were evaluated using standing lateral radiographs before surgery, at 6 weeks follow-up and at the final follow-up. Results : The mean age of the patients was 49.9 years [range, 38 to 64 years]. The affected levels were L4-5 in 17 cases and L5-S1 in 10. There were 18 cases of Grade I isthmic spondylolisthesis and 9 cases of Grade II. At a mean follow-up duration of 9.9 months [range, 6 to 18 months], the disc height [p< 0.001] was significantly increased, and the degree of anterolisthesis was significantly reduced [p< 0.001]. Regarding the sagittal balance, the segmental lumbar lordosis was significantly increased [p=0.01], but other parameters were not significantly changed after surgery. Conclusion : TLIF with PSF using $8^{circ}$ wedged cages significantly increased the segmental lumbar lordosis.