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- W2028740032 abstract "Aims(1) To assess the results of decompression instrumentation and posterior spinal fusion for degenerative spondylolisthesis in a district general hospital. (2) To establish whether this procedure can be performed safely outside a specialised unit.MethodsThirty-one consecutive patients were included for this study. All underwent decompression instrumentation, pedicle screw fixation and posterior spinal fusion for degenerative spondylolisthesis in our unit. The average age was 56 (range 34–72) years with a mean follow-up of 3.7 years. Patients were assessed by their operative and post-operative complications, radiographic analysis and postal questionnaires; 25 (81%) patients replied to the questionnaire.ResultsTwo cases each of dural tears, instrumentation failure and superficial wound infection, and one case of deep wound infection were found. There were no cases of neurological deficit, radiculopathy, recurrent stenosis or progression of deformity at the fused level. Radiological fusion rate was 87% and 88% were satisfied with the overall results; two (8%) patients said they would not have the same procedure again. An improvement in score outcome in terms of pain, mobility, sleep, analgesia and quality of life (P <0.0001) was also noted.ConclusionsOverall complications were 17%. An improved outcome was noted in terms of radiological fusion and patients' functional and satisfaction outcome in all those who underwent decompression pedicle screw fixation in our unit. We conclude that posterior spinal fusion can be performed safely outside a specialised unit." @default.
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- W2028740032 date "2003-06-01" @default.
- W2028740032 modified "2023-10-16" @default.
- W2028740032 title "Outcome of transpedicular screw fixation and posterior spinal fusion for degenerative spondylolisthesis." @default.
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- W2028740032 doi "https://doi.org/10.1007/s00590-003-0077-2" @default.
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