@article{Pandey KK_Peepra D_Pawar S_2020, title={Outcome of Modified Wiltse Paramedian Approach For Fusion Of Single Level Lower Lumbar Spinal Instability}, volume={27}, url={https://ojmpc.com/index.php/ojmpc/article/view/115}, abstractNote={<p>In one way, conventional open posterior midline approach for pedicle screws fixation for<span class="Apple-converted-space">&nbsp; </span>lower lumbar pathology is usually associated with significant para spinal muscle damage and mobility and in other way , recently used minimally invasive percutaneous pedicle screw fixation techniques have higher radiation exposure . Thus in midway between two Modified Wiltse paramedian<span class="Apple-converted-space">&nbsp; </span>approach may still provide the muscle sparing with minimal morbidity and radiation safety. We retrospectively evaluated the outcome of 12 patients of single level of lumbar instability<span class="Apple-converted-space">&nbsp; </span>at L4-L5 or at L5-S1 which included 2 patients with L5 vertebral body burst fracture, 6 patients with L4L5 ishthmic spondylolisthesis and 4 patients with L5S1<span class="Apple-converted-space">&nbsp; </span>Ishthmic spondylolisthesis.<span class="Apple-converted-space">&nbsp; </span>There were 4 male patients and 8 female patients<span class="Apple-converted-space">&nbsp; </span>with age range from 16 years to 45 years ( mean age of 34.6 years). The procedure was completed with less than 150 ml estimated blood loss.<span class="Apple-converted-space">&nbsp; </span>The average C arm exposure was 10.5.The average length of post operative<span class="Apple-converted-space">&nbsp; </span>stay was 3.5 days. There was no intraoperative neurological complications. Stitches were removed at 14th postoperative day and followed monthly for three months and 3 monthly upto 1 year . The mean preoperative VAS score ( 8.3) improved to the mean postoperative VAS score (3.2) in 3rd post op day and 1.2<span class="Apple-converted-space">&nbsp; </span>by 1 year with no use of analgesic medications.</p&gt;}, number={1}, journal={Orthopaedic Journal of M. P. Chapter}, author={Pandey KK and Peepra D and Pawar S}, year={2020}, month={Dec.}, pages={10-14} }