Adam Faisal F
Department of Orthopaedic Surgery, Assiut University Hospital, Assiut, Egypt.
Int Orthop. 2003;27(5):311-4. doi: 10.1007/s00264-003-0478-1. Epub 2003 Jul 3.
Forty-six patients with low-grade isthmic spondylolisthesis (27 grade I and 19 grade II) and radicular pain underwent surgery after failure of conservative treatment for 6 months. Fusion and decompression was carried out in 23 patients (group 1) and fusion without decompression in the other 23 patients (group 2). Instrumentation was used in 16 patients who had instability and hypermobility as seen by dynamic radiography. Results were assessed functionally and radiographically and graded according to Stauffer and Coventry. The follow-up was an average of 20 (12-36) months. In group 1 there were 17 patients with excellent to good results, and in group 2, 21 patients. There was no significant statistical difference between the fusion rate in the two groups. Decompression in addition to fusion in adults with low-grade isthmic spondylolisthesis and radicular pain does not appear to improve the functional outcome.
46例低度峡部裂型腰椎滑脱症患者（27例I度和19例II度）伴有神经根性疼痛，经6个月保守治疗失败后接受手术。23例患者（第1组）行融合加减压手术，另外23例患者（第2组）行单纯融合手术。16例经动态X线片显示存在不稳定和活动度过高的患者使用了内固定。根据功能和影像学结果进行评估，并按照Stauffer和Coventry标准分级。平均随访20（12 - 36）个月。第1组有17例患者结果为优或良，第2组有21例。两组融合率之间无显著统计学差异。对于伴有神经根性疼痛的低度峡部裂型腰椎滑脱症成人患者，融合加减压手术似乎并不能改善功能结局。
