REVIEW

Degenerative Spondylolisthesis : The preferable surgical technique

Komang Agung Irianto , Firman W. Hatmoko, Laskar P K

Komang Agung Irianto
Jatiroto General Hospital Surabaya Orthopedic and Traumatology Hospital Department of Orthopaedic and Traumatology, Medical Faculty, Universitas Airlangga, Surabaya Indonesia.. Email: komang168@yahoo.com

Firman W. Hatmoko
Jatiroto General Hospital Surabaya Orthopedic and Traumatology Hospital Department of Orthopaedic and Traumatology, Medical Faculty, Universitas Airlangga, Surabaya Indonesia.

Laskar P K
Jatiroto General Hospital Surabaya Orthopedic and Traumatology Hospital Department of Orthopaedic and Traumatology, Medical Faculty, Universitas Airlangga, Surabaya Indonesia.
Online First: April 15, 2018 | Cite this Article
Irianto, K., Hatmoko, F., K, L. 2018. Degenerative Spondylolisthesis : The preferable surgical technique. Bali Medical Journal 7(1): 215-219. DOI:10.15562/bmj.v7i1.873


Introduction: Degenerative Spondylolisthesis is the major cause of low back pain, radiculopathy, and neurogenic claudication. The incidence rate for the general population ranged from 5% to 7%. Surgical method on degenerative spondylolisthesis is highly recommended. Objective: The purpose of this review is to determine the preferable surgical procedures for degenerative spondylolisthesis, which are still debatable.


Methods: A total of ffty relevant literatures were researched regarding degenerative spondylolisthesis, the diagnostic procedure, and the treatment from the period of 2007-2017. The author has chosen which surgical technique that is preferable between TLIF (Transforaminal
Lumbal Interbody Fusion) and PLF (Posterior Lumbal Fusion), from the so-called 50 literature journals.


Results and Discussion: The results showed that there was no signifcant difference regarding the back pain using Visual Analog Scale (VAS) during the preoperative procedure, in the operating level, the treatment duration, and the post-surgical complications between the two groups. There was also no signifcant difference in terms of leg pain (using VAS) between those two groups. On the other hand, the amount of blood loss, the duration of the surgery and successful fusion were signifcantly higher in the TLIF group than the PLF group.


Conclusion: When determining the surgical procedure, the author discovered the TLIF to be comparatively superior to the PLF regarding the fusion success, despite the longer surgical duration and higher amount of blood loss.

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