Radiological and clinical comparison of posterolateral fusion and transforaminal interbody fusion techniques in degenerative lumbar stenosis

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dc.authoridGökhan Bozkurt / 0000-0001-5135-1343
dc.authorscopusidGökhan Bozkurt / 58433411100
dc.authorwosidGökhan Bozkurt / JQS-5759-2023
dc.contributor.authorBozkurt, Gökhan
dc.contributor.authorIsikay, Ilkay
dc.contributor.authorHanalioglu, Sahin
dc.date.accessioned2020-08-30T20:07:26Z
dc.date.available2020-08-30T20:07:26Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractOBJECTIVE: Fusion surgery for lumbar degenerative stenosis is an established treatment mode. Despite comparable patient-related outcomes and radiologic results, the necessity of adding interbody fusion to posterolateral fusion remains controversial. We aimed to compare the clinical and radiologic outcomes of posterolateral fusion and transforaminal interbody fusion techniques in degenerative lumbar stenosis with or without spondylolisthesis. METHODS: We retrospectively evaluated the clinical and radiologic outcomes of 48 patients who underwent decompression plus either posterolateral fusion (PLF; n = 23) or transforaminal interbody fusion (TLIF) plus PLF (TLIF+PLF; n = 25) procedures, which incorporated 71 segments for degenerative lumbar stenosis with or without spondylolisthesis. RESULTS: The median follow-up duration for the PLF and TLIF groups were 26 and 31 months, respectively. Both procedures significantly improved the Oswestry Disability Index (ODI) and visual analog scale (VAS) scores; however, the postoperative ODI and VAS scores were unaffected by the procedure type. Postoperative disc heights and percent changes in disc heights did not change by operation type; however, the percent change in the foramen areas was significantly greater in the TLIF group. The addition of TLIF to the PLF procedure resulted in significantly longer operating time and more intraoperative blood loss. Cerebrospinal fluid fistula was the only major complication noted. The radiologic fusion rates were similar between both study groups. CONCLUSIONS: Both PLF and TLIF+PLF procedures were effective in ameliorating the symptoms of degenerative lumbar stenosis and spondylolisthesis. Although some radiologic parameters favor TLIF, this was not reflected in the clinical outcomes.en_US
dc.identifier.citationBozkurt, G., Isikay, I., & Hanalioglu, S. (2018). Radiological and Clinical Comparison of Posterolateral Fusion and Transforaminal Interbody Fusion Techniques in Degenerative Lumbar Stenosis. World Neurosurgery, 116, e1060–e1065. https://doi.org/10.1016/j.wneu.2018.05.165en_US
dc.identifier.doi10.1016/j.wneu.2018.05.165en_US
dc.identifier.endpageE1065en_US
dc.identifier.issn1878-8750en_US
dc.identifier.issn1878-8769en_US
dc.identifier.pmid29864570en_US
dc.identifier.scopus2-s2.0-85048984750en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE1060en_US
dc.identifier.urihttps://doi.org/10.1016/j.wneu.2018.05.165
dc.identifier.urihttps://hdl.handle.net/20.500.12713/764
dc.identifier.volume116en_US
dc.identifier.wosWOS:000439498500135en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBozkurt, Gökhanen_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofWorld Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDegenerative Lumbar Stenosisen_US
dc.subjectDegenerative Spondylolisthesisen_US
dc.subjectPosterolateral Fusionen_US
dc.subjectTransforaminal Lumbar Interbody Fusionen_US
dc.titleRadiological and clinical comparison of posterolateral fusion and transforaminal interbody fusion techniques in degenerative lumbar stenosisen_US
dc.typeArticleen_US

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