Barbanti Bròdano G, Donati U, Palmisani M, Pompili M, Boriani S
Divisione di Ortopedia e Traumatologia, Ospedale Maggiore C.A. Pizzardi, Bologna.
Chir Organi Mov. 2000 Oct-Dec;85(4):345-60.
It is the purpose of this study to evaluate the clinical and radiographic medium-term results of a series of 60 patients submitted to intersomatic lumbar fusion by posterior approach, using a system constituted by carbon wedges to be associated with bone grafts for intersomatic fusion, and by steel or titanium plates or bars used for posterior pedicle osteosynthesis. Satisfactory clinical results were obtained in 88.2% of cases and complete radiographic fusion in 91.4% of cases. Complications were generally observed in 8.3% of cases. In light of these results, we may consider intersomatic lumbar fusion by posterior approach a method that is perhaps aggressive, but effective in the treatment of severe lumbar spondylolysis. The use of carbon wedges brings several advantages that favor intersomatic fusion, its progressive control, and the restoration of normal lordosis of the lumbar spine.
本研究旨在评估60例采用后路腰椎椎间融合术患者的临床及影像学中期结果。该手术使用了一种系统，包括用于椎间融合并与骨移植联合使用的碳楔，以及用于后路椎弓根骨合成的钢或钛板或棒。88.2%的病例获得了满意的临床结果，91.4%的病例实现了完全影像学融合。8.3%的病例普遍观察到并发症。鉴于这些结果，我们可以认为后路腰椎椎间融合术是一种或许激进但对严重腰椎峡部裂治疗有效的方法。碳楔的使用带来了有利于椎间融合、其逐步控制以及恢复腰椎正常前凸的几个优点。
