Grifka J, Möller J
Orthopädische Universitätsklinik, St. Josef-Hospital.
Z Orthop Ihre Grenzgeb. 1991 Jul-Aug;129(4):362-4. doi: 10.1055/s-2008-1040256.
Treatment of intervertebral disc herniation associated with spondylolisthesis is not different from common procedures concerning indication for surgery and surgical technique as far as sciatica is not related to retrolisthetic soft tissue or the posterior edge of the vertebral body. In a case of a disc herniation L5/S1 and an olisthesis grade I with radicular pain L5 a microdiscectomy of the prolapse and parts of the retrolisthetic soft tissue was performed. An immediate reintervention was necessary due to postoperative symptoms of paralysis. Derangement of the retrolisthetic soft tissue was found to cause the increased L5-symptoms.
对于伴有椎体滑脱的椎间盘突出症，只要坐骨神经痛与椎体后移的软组织或椎体后缘无关，其治疗在手术指征和手术技术方面与常见手术并无不同。在一例L5/S1椎间盘突出症且I度椎体滑脱伴有L5神经根性疼痛的病例中，对脱垂部分及椎体后移软组织进行了显微椎间盘切除术。由于术后出现瘫痪症状，需要立即再次干预。发现椎体后移软组织紊乱导致L5症状加重。
