Clinical study of bilateral decompression via vertebral lamina fenestration for lumbar interbody fusion in the treatment of lower lumbar instability

Guo,Shuguang; Sun,Junying; Tang,Genlin

doi:10.3892/etm.2013.903

Clinical study of bilateral decompression via vertebral lamina fenestration for lumbar interbody fusion in the treatment of lower lumbar instability

Authors:
- Shuguang Guo
- Junying Sun
- Genlin Tang
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Affiliations: Orthopedic Department, The First Affiliated Hospital of Soochow University, Jiangsu, Suzhou 215006, P.R. China, Orthopedic Department, The People's Hospital of Taizhou in Jiangsu Province, Jiangsu, Taizhou 225300, P.R. China
Published online on: January 17, 2013 https://doi.org/10.3892/etm.2013.903
Pages: 922-926

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Abstract

The aim of this study was to observe the clinical effects of bilateral decompression via vertebral lamina fenestration for lumbar interbody fusion in the treatment of lower lumbar instability. The 48 patients comprised 27 males and 21 females, aged 47-72 years. Three cases had first and second degree lumbar spondylolisthesis and all received bilateral vertebral lamina fenestration for posterior lumbar interbody fusion (PLIF) using a threaded fusion cage (TFC), which maintains the three-column spinal stability. Attention was given to ensure the correct pre-operative fenestration, complete decompression and the prevention of adhesions. After an average follow-up of 26.4 months, the one year post‑operative X-ray radiographs suggested that the successful fusion rate was 88.1%, and this was 100% in the two-year post‑operative radiographs. Moreover, the functional recovery rate was 97.9%. Bilateral vertebral lamina fenestration for lumbar interbody fusion is an ideal surgical method for the treatment of lower lumbar instability. The surgical method retains the spinal posterior column and middle column and results in full decompression and reliable fusion by a limited yet effective surgical approach.

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