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Abstract

Surgical intervention is the treatment of choice in cases of severe pain in spondylolisthesis that doesn't respond to conservative measures. Decompression and fusion surgery is the gold standard surgical procedure for treating lumbar spondylolisthesis with foraminal stenosis, and it can be carried out in a variety of ways. Objectives: To investigate the outcomes of combined surgical techniques, including facetectomy along with foraminotomy, to secure the normal alignment of the lumbar spine in patients with spondylolisthesis. Methods: This retrospective cross-sectional study included the records of fifty-two patients who underwent facetectomy along with foraminotomy for spondylolisthesis from January 2022 to March 2023. Assessment of demographic information, clinical presentations, and outcomes was conducted. Descriptive statistics were analyzed via IBM SPSS software version 26. Results: The Mean age of the participants was 42 ± 15 years. The majority were female, 31(59%), as compared to male. The most frequent level which demonstrated listhesis was L4-L5 23 (45%), followed by L5, S1 18 (34%) and L3, L4 11(21%). In Type 1 listhesis, Full correction was achieved in 100% of cases, while in Type 2 listhesis, 80% of cases achieved correction. Further significant association (p≤0.05) was found among post-surgical outcomes including pain, functional disability and neurological status. Conclusions: It was concluded that facetectomy combined with foraminotomy is associated with improved clinical outcomes in the management of spondylolisthesis, particularly in Type 1 cases. The procedure was linked to pain relief, enhanced functional ability, and improved neurological status. Further longitudinal studies are required to assess long-term efficacy and safety.