Vibert Brady T, Sliva Christopher D, Herkowitz Harry N
William Beaumont Hospital, Department of Orthopaedic Surgery and Division of Spine Surgery, Royal Oak, MI, USA.
Clin Orthop Relat Res. 2006 Feb;443:222-7. doi: 10.1097/01.blo.0000200233.99436.ea.
Spondylolisthesis is a common cause of lower-back pain, radiculopathy, and neurogenic claudication among the adult population. Treatment should begin with nonoperative measures that may include physical therapy, aerobic exercise, epidural steroid injections, and homeopathic remedies. If these treatments fail, surgical intervention may provide the patient pain relief and improvement in neurologic symptoms. The use of instrumentation for posterolateral fusions as well as interbody fusion may improve clinical outcomes for those having surgical intervention. We discuss the current nonoperative modalities and surgical techniques treating degenerative spondylolisthesis.
Level V: Expert Opinion. See the Guidelines for Authors for a complete description of the levels of evidence.
腰椎滑脱是成年人群下背痛、神经根病和神经源性间歇性跛行的常见原因。治疗应首先采取非手术措施，可能包括物理治疗、有氧运动、硬膜外类固醇注射和顺势疗法。如果这些治疗失败，手术干预可能会缓解患者疼痛并改善神经症状。对于接受手术干预的患者，使用器械进行后外侧融合以及椎间融合可能会改善临床结果。我们讨论了目前治疗退行性腰椎滑脱的非手术方式和手术技术。
V级：专家意见。有关证据级别的完整描述，请参阅作者指南。
Zotero 插件