TITLE:
Clinical and Radiological Outcome of Local Autogenous Bone Grafting for Spondylolisthesis
AUTHORS:
Md. Hamidul Haque, Md. Shahidul Islam Akon, Md. Shafiul Ezaz, Abdullah Al Mahmud, Md. Kamruzzaman, Md. Solaiman Hasan, Mohammad Ullah, Muktasid Al Mubin
KEYWORDS:
Clinical Outcome, Radiological Outcome, Spondylolisthesis
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.16 No.6,
June
24,
2026
ABSTRACT: Background: Spondylolisthesis is a common spinal disorder characterized by anterior displacement of one vertebra over another, with a prevalence of 3% - 10% in the general population. Given ongoing debate regarding optimal graft choice in instrumented fusion, this study aimed to evaluate the clinical and radiological outcomes of lumbar spondylolisthesis treated with posterior decompression and pedicle screw-rod fixation using local autogenous bone graft. Methods: This retrospective study was conducted in the Department of Orthopaedic Surgery, IBN Sina Medical College Hospital, Dhaka, Bangladesh (April 2021-March 2025), including 45 consecutive patients with Meyerding grade I - III lumbar spondylolisthesis treated with posterior decompression and pedicle screw-rod fixation using local autogenous bone graft. Patients with incomplete follow-up were excluded. Outcomes were assessed at ≥12 months (up to 30 months) using VAS, ODI, radiological parameters, and Bridwell and Modified Lee’s fusion grading, with standardized postoperative rehabilitation. Results: A total of 45 patients (mean age 51.1 ± 13.8 years; 48.9% male) were included. L4 - L5 involvement (55.6%) and Grade II spondylolisthesis (64.4%) were most common. Significant improvements were observed in VAS, ODI, slip percentage, slip angle, disc height, and foraminal height (all p Conclusion: Local autogenous bone graft with instrumented fusion provides safe, effective, and reliable clinical and radiological outcomes in lumbar spondylolisthesis.