Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar Spondylolisthesis
Aim: Lumbar spondylolisthesis has been a major cause of disability in the general population, mostly in the later part of the productive age-group. Various modes of treatment and surgeries have come up to tackle this morbidity, but with differing results. This study aims to assess clinical and radio...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2024-06-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1161 |
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| author | Rishab Chandraprakash Rajavel Kalirajan Milap Bhalodiya Vijayanand Balasubramanian Gowthaman Nambiraj Mohan Mahendramani |
| author_facet | Rishab Chandraprakash Rajavel Kalirajan Milap Bhalodiya Vijayanand Balasubramanian Gowthaman Nambiraj Mohan Mahendramani |
| author_sort | Rishab Chandraprakash |
| collection | DOAJ |
| description | Aim: Lumbar spondylolisthesis has been a major cause of disability in the general population, mostly in the later part of the productive age-group. Various modes of treatment and surgeries have come up to tackle this morbidity, but with differing results. This study aims to assess clinical and radiological outcomes in patients who underwent transforaminal lumbar interbody fusion (TLIF) with a polyether ether ketone (PEEK) cage for lumbar spondylolisthesis.
Materials and methods: A total of 38 patients with varying grades of lumbar spondylolisthesis, among which, 11 males and 27 females were included in this study. All underwent TLIF with PEEK cage surgery. Their preoperative and postoperative pain score, functional scores, and radiological parameters were compared. All patients were followed up to 12 months.
Results: The mean preoperative visual analog scale (VAS) started from 8.53 and came to 2.79, postoperatively. Around 68.4% of patients showed minimal disability. Around 60.5% of patients showed excellent outcomes. Around 73.7% of patients showed fusion at 12 months. Near-normal radiological parameters were achieved in all the patients. Five patients showed complications.
Conclusion: Overall patient satisfaction was observed in this study, and good radiological outcomes were achieved. The PEEK cage augments the mechanical support provided by TLIF.
Clinical significance: The modulus of elasticity of PEEK (3.6 GPa) makes it more closely aligned with cancellous bone (1–20 GPa) compared to traditionally used titanium cages (120 GPa). This alignment contributes to lower rates of bone dehiscence and improved patient outcomes. |
| format | Article |
| id | doaj-art-6c23cad8fc764c829da21ebe1c77d41e |
| institution | Kabale University |
| issn | 2582-7863 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-6c23cad8fc764c829da21ebe1c77d41e2025-02-07T11:18:35ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632024-06-016213013510.5005/jojs-10079-11619Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar SpondylolisthesisRishab Chandraprakash0https://orcid.org/0009-0008-1712-9624Rajavel Kalirajan1https://orcid.org/0009-0000-3675-2229Milap Bhalodiya2https://orcid.org/0009-0008-2880-1420Vijayanand Balasubramanian3https://orcid.org/0000-0003-3638-1127Gowthaman Nambiraj4https://orcid.org/0009-0002-7492-4946Mohan Mahendramani5https://orcid.org/0009-0002-0241-3389Rishab Chandraprakash, Department of Orthopedics, SRM Institute of Science and Technology, Potheri, Tamil Nadu, India, Phone: +91 9994111656Department of Orthopedics, SRM Institute of Science and Technology, Potheri, Tamil Nadu, IndiaDepartment of Orthopedics, SRM Institute of Science and Technology, Potheri, Tamil Nadu, IndiaDepartment of Orthopedics, SRM Institute of Science and Technology, Potheri, Tamil Nadu, IndiaDepartment of Orthopedics, SRM Institute of Science and Technology, Potheri, Tamil Nadu, IndiaDepartment of Orthopedics, SRM Institute of Science and Technology, Potheri, Tamil Nadu, IndiaAim: Lumbar spondylolisthesis has been a major cause of disability in the general population, mostly in the later part of the productive age-group. Various modes of treatment and surgeries have come up to tackle this morbidity, but with differing results. This study aims to assess clinical and radiological outcomes in patients who underwent transforaminal lumbar interbody fusion (TLIF) with a polyether ether ketone (PEEK) cage for lumbar spondylolisthesis. Materials and methods: A total of 38 patients with varying grades of lumbar spondylolisthesis, among which, 11 males and 27 females were included in this study. All underwent TLIF with PEEK cage surgery. Their preoperative and postoperative pain score, functional scores, and radiological parameters were compared. All patients were followed up to 12 months. Results: The mean preoperative visual analog scale (VAS) started from 8.53 and came to 2.79, postoperatively. Around 68.4% of patients showed minimal disability. Around 60.5% of patients showed excellent outcomes. Around 73.7% of patients showed fusion at 12 months. Near-normal radiological parameters were achieved in all the patients. Five patients showed complications. Conclusion: Overall patient satisfaction was observed in this study, and good radiological outcomes were achieved. The PEEK cage augments the mechanical support provided by TLIF. Clinical significance: The modulus of elasticity of PEEK (3.6 GPa) makes it more closely aligned with cancellous bone (1–20 GPa) compared to traditionally used titanium cages (120 GPa). This alignment contributes to lower rates of bone dehiscence and improved patient outcomes.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1161polyether ether ketone cagespondylolisthesistransforaminal lumbar interbody fusion. |
| spellingShingle | Rishab Chandraprakash Rajavel Kalirajan Milap Bhalodiya Vijayanand Balasubramanian Gowthaman Nambiraj Mohan Mahendramani Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar Spondylolisthesis Journal of Orthopedics and Joint Surgery polyether ether ketone cage spondylolisthesis transforaminal lumbar interbody fusion. |
| title | Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar Spondylolisthesis |
| title_full | Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar Spondylolisthesis |
| title_fullStr | Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar Spondylolisthesis |
| title_full_unstemmed | Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar Spondylolisthesis |
| title_short | Clinical and Radiological Outcome of Transforaminal Lumbar Interbody Fusion with Polyether Ether Ketone Cage in Patients with Lumbar Spondylolisthesis |
| title_sort | clinical and radiological outcome of transforaminal lumbar interbody fusion with polyether ether ketone cage in patients with lumbar spondylolisthesis |
| topic | polyether ether ketone cage spondylolisthesis transforaminal lumbar interbody fusion. |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1161 |
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