A Study on Functional and Radiological Outcome of Lumbar Spine Fusion Surgery (TLIF / PLIF) with Minimum 6 Months Duration (21 Patients)

Background: Among various spine disorders degenerative conditions like lumbar disc disease and spondylolisthesis are commonly encountered. Surgery is option when conservative treatment fails .Fusion is the only option to alleviate instability. The aim of our study is to evaluate functional and radiological outcome of lumbar spine fusion surgery (TLIF/PLIF) and to study its complications. Materials and Methods: This is a retrospective study of 21 patients of lumbar spine fusion surgery (TLIF/PLIF) which were admitted and operated at Guru Govindsingh Govt. Hospital and M.P. Shah Medical College Jamnagar, Gujarat. All patients with age between 18 to 72 years were included in this study. Results: The mean age of the patients is 52.44 years .Males account for 38.10% and females account for 61.90%. Spondylolisthesis was present in 47.6%and Lumbar canal stenosis in 19.00%. Most common level involved in surgery was L4-L5 level(57.40%).Neurological deficit was present in 62.00%. O.D.I score at more than 6 months follow up was 13.70% as compare to 67.79% at the time of admission. Fusion rate was 90.46%. One patient (4.76%) had dural tear per operative and one patient(4.76%) had infection. Conclusion: Proper patient selection and surgeon expertise are important for successful outcome .It is an ideal management for treatment of degenerative disc disease and spondylolisthesis.