Vol. 10, Issue 4 (2024)
Functional outcome of transforaminal lumbar interbody fusion with localised bone graft
Dr. Jash J Chheda, Dr. Sridhar DK, Dr. Vijay S, Dr. Kiran Kalaiah and Dr. Ravishankar J
Background: Spinal disorders are a significant global health burden, with spondylolisthesis and degenerative disc disease being increasingly prevalent. While surgery is often necessary for these conditions, traditional methods involving intervertebral cages and iliac crest bone grafts can have limitations.
Objective: This study aimed to investigate the feasibility and efficacy of using local bone grafts obtained during surgery for cage-less lumbar interbody fusion.
Methods: A total of 36 patients with chronic low back pain underwent lumbar interbody fusion surgery using local bone grafts. Pre-operative and post-operative outcomes were assessed using the Visual Analog Scale (VAS) for pain and the Oswestry Disability Index (ODI) for function.
Results: The study demonstrated significant improvements in both VAS and ODI scores following surgery, indicating reduced pain and improved function. Additionally, the use of local bone grafts was associated with lower rates of complications compared to traditional bone graft sources.
Conclusion: This study suggests that local bone grafts can be a safe and effective alternative to traditional bone graft sources in lumbar interbody fusion. By eliminating the need for additional surgery to harvest iliac crest bone, this approach may reduce patient morbidity and improve overall outcomes.
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