The Role of Lumbar Sagittal Balance on Clinical Results after Posterior Interbody Fusion for Patients with Isthmic Spondylolisthesis: A Retrospective Study

Sunil Khemka, Manindra Bhushan, Sandesh Subhash Agrawal, Pritam Agrawal, Ambrish Verma, Ram Khemka · 2026

Read The Role of Lumbar Sagittal Balance on Clinical Results after Posterior Interbody Fusion for Patients with Isthmic Spondylolisthesis: A Retrospective Study by Sunil Khemka, Manindra Bhushan, Sandesh Subhash Agrawal, Pritam Agrawal, Ambrish Verma, Ram Khemka (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13552169.txt.

Description

Sunil Khemka and co-authors asked whether restoring the lower spine's natural curve improves results after fusion surgery for a slipped vertebra. Isthmic spondylolisthesis, where one vertebra slides over the next, causes back pain and disability. Fifty patients received a posterior lumbar interbody fusion and were followed for a year with disability scores and spinal alignment measures.

Disability scores improved sharply after surgery. Of the alignment measures, only the sacral slope, the tilt of the sacrum's top surface, changed significantly, rising as pelvic tilt fell. Greater gains in sacral slope went with greater disability improvement. The authors conclude the surgery clearly helps, and that recovering sagittal balance, above all sacral slope, supports the best function, though alignment alone does not predict every outcome.

Catalog record

CREATORSunil Khemka, Manindra Bhushan, Sandesh Subhash Agrawal, Pritam Agrawal, Ambrish Verma, Ram Khemka
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE24 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13552169

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