Hlavaty A, Smoczyński A, Drozdz J
Kliniki Ortopedycznej AM w Gdańsku.
Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):299-307.
The results of treatment of spondylolisthesis in 72 patients by reduction with the use of Harrington rods and circumferential fusion were reported. In dysplastic spondylolisthesis 75% satisfactory results and 83.4% spinal fusions were achieved, in stenotic spondylolistheses 80% and 85% respectively. The influence of operation on sacral bone position against lumbar spine could not be accurately traced with the aid of Wiltse radiological criteria. The authors consider arthrodesis "in situ" as insufficient procedure, especially in dysplastic type of spondylolisthesis. They recommend addition of anterior fusion that retains and stabilizes reduction being limited to single motoric unit of the spine.
报告了使用哈灵顿棒复位及环形融合术治疗72例腰椎滑脱症患者的结果。在发育异常性腰椎滑脱症中，获得了75%的满意结果和83.4%的脊柱融合；在狭窄性腰椎滑脱症中，分别为80%和85%。借助威尔茨放射学标准，无法准确追踪手术对骶骨相对于腰椎位置的影响。作者认为“原位”关节融合术是不充分的手术，尤其是在发育异常型腰椎滑脱症中。他们建议增加前路融合术，该术式可维持并稳定复位，且仅限于脊柱的单个运动单元。
