Ohmori K, Suzuki K, Ishida Y
Department of Orthopaedic and Spinal Surgery, Nagoya Daini Red Cross Hospital, Japan.
Neurosurgery. 1992 Mar;30(3):379-84. doi: 10.1227/00006123-199203000-00011.
Anterior or posterolateral spondylodesis has been reported and used widely as a surgical treatment for lumbar spondylolysis or spondylolisthesis. Although spinal fusion is necessary when there is extensive vertebral slippage or spinal instability, the direct repair of the defect is thought to be anatomical, logical, and less invasive as a surgical treatment for symptomatic lumbar spondylolysis or a minimal degree of spondylolisthesis. This operation, with a few modifications, has been performed since 1985 in our clinic. The results, using Henderson's criteria, were excellent in 64.5% and good in 25.8% of the patients thus treated. For younger patients with symptomatic lumbar spondylolysis, direct repair of the defect using translamino-pedicular instrumentation with bone grafting is recommended, as degenerative changes have not usually occurred in the vertebral discs.
前路或后外侧脊柱融合术已被报道并广泛用作腰椎峡部裂或腰椎滑脱的手术治疗方法。虽然当存在广泛的椎体滑脱或脊柱不稳定时脊柱融合是必要的，但对于有症状的腰椎峡部裂或轻度腰椎滑脱，缺损的直接修复被认为是符合解剖学、逻辑且侵入性较小的手术治疗方法。自1985年以来，我们诊所对该手术进行了一些改良后开展。根据亨德森标准，接受该治疗的患者中，64.5%的结果为优，25.8%为良。对于有症状的年轻腰椎峡部裂患者，建议使用经椎弓根器械并植骨直接修复缺损，因为椎间盘通常尚未发生退变。
