Hähnel H, Muschik M, Zippel H, Gutsche H
Klinik und Poliklinik für Orthopädie, Charité - Klinikum der Humboldt-Universität zu Berlin.
Z Orthop Ihre Grenzgeb. 1991 Mar-Apr;129(2):197-203. doi: 10.1055/s-2008-1040183.
Indications for intercorporal fusion are progressive spondylolisthesis in children and adolescents, painful segmental instability in adults (spondylolisthesis, post-discectomy-syndrome, failed-back-syndrome). From 1980-86 152 isolated anterior intercorporal fusions had been realized, and in 1987/88 we carried out 79 combined anterior-posterior fusions. The rate of pseudarthrosis has been 25% with isolated anterior fusion and on the contrary 9% with combined fusion. With combined fusion the rate of complications did not increase, but the objective and subjective results became better. The postoperative period became more convenient, the stay in hospital and the consolidation of fusion were shorter. The reposition of spondylolisthesis was durable and the spine channel was accessible. We consider the instrumented fusion to be a complex reconstructive operation with high chances of success.
椎间融合术的适应症包括儿童和青少年的进行性椎体滑脱、成人的疼痛性节段性不稳定（椎体滑脱、椎间盘切除术后综合征、腰背痛综合征）。1980年至1986年期间，共实施了152例单纯前路椎间融合术，1987/1988年我们进行了79例前后路联合融合术。单纯前路融合术的假关节形成率为25%，相反，联合融合术的假关节形成率为9%。采用联合融合术时，并发症发生率并未增加，但客观和主观效果均有所改善。术后恢复更为便利，住院时间和融合巩固时间缩短。椎体滑脱的复位效果持久，椎管易于显露。我们认为器械辅助融合术是一种成功率较高的复杂重建手术。
