Arthornthurasook A, Prabhawong P
Faculty of Medicine, Rangsit University, Pathum Thani, Thailand.
J Med Assoc Thai. 1992 Oct;75(10):551-4.
The authors reported 16 cases of first to third grade painful spondylolisthesis. The treatment was posterior reduction and stabilization in one stage operation by modified Vidal et al and Luque techniques. The operation consisted of stabilization of an above involved vertebra and another one below with a rectangular rod and sublaminar wirings. The pedicular screws were inserted through the Harrington hooks which levered upon the rectangular rod for reduction of the displaced vertebra. The posterolateral intertransverse arthrodesis of two spinal segments was also added. A 2-5-year follow-up study showed all patients were relieved from pain initially, and could ambulate early following the operation. The vertebral displacement did not increase postoperatively and solid posterolateral fusion was obtained.
作者报告了16例一至三级疼痛性椎体滑脱病例。采用改良的维达尔等人及卢克技术，在一期手术中进行后路复位和固定。手术包括用矩形棒和椎板下钢丝固定上方受累椎体及下方另一椎体。通过哈灵顿钩插入椎弓根螺钉，该钩作用于矩形棒以复位移位椎体。还增加了两个脊柱节段的后外侧横突间植骨融合术。一项为期2至5年的随访研究表明，所有患者最初疼痛均得到缓解，术后可早期行走。术后椎体移位未增加，且获得了坚固的后外侧融合。
