Prospective study on spondylolisthesis patients managed by posterior fixation

Abstract

Introduction: CT: The increasing incidence of spondylolisthesis is probably due to the present day hectic lifestyle, supplemented with poor posture, wrong dietary habits leading to obesity and lack of regular exercises. Aims: Our aim of the study the stability of fixation in spondylolisthesis with follow up period and to study symptomatic and neurological improvement and complications. Materials and methods: It is Observational and prospective study for a period of 4 years in 20 Patient with L5-S1 spondylolisthesis whose symptoms were not relieved even after conservative management for 6 months, or patients who had severe/long standing symptoms, or patients who had severe slip at L5-S1 of varied etiology were admitted on elective basis and were taken up for surgery by posterior fixation with pedicle screws and rods. Results:We analysed results in our 20 patients, 16 were females and 4 males. Maximum patients were in the age range of 20 to 50 years. 75% of the patients had bilateral L5 spondylolysis, isthmic type is commonest at L5-S1 slip. 80% of patients were Meyerding grade 1 and 2 preoperatively. Post operatively grade 1 and grade 2 patients were only 50% and 40% had no slip. In this study clinically successful results was 65% (excellent 15% + good 50%).Conclusion:Symptomatic relief and clinical results are evaluated based on KIM-KIM criteria, which is a reliable and easily assessed criteria.