Savini R, Di Silvestre M, Gargiulo G, Picci P
Istituto Ortopedico Rizzoli, Bologna, Italy.
Spine (Phila Pa 1976). 1991 Sep;16(9):1118-23. doi: 10.1097/00007632-199109000-00018.
From 1984 to 1987, nine patients with posterior lumbar apophyseal fracture underwent surgery. The clinical pattern was characterized by vertebral rigidity and leg pain in all cases, with associated nerve root deficit in three cases, neurogenic claudication in one, and paraparesis in one. In all patients, treatment consisted of removal of a bony and/or cartilaginous fragment. In eight patients, it was done through a posterior approach (unilateral laminotomy with partial facetectomy in six cases and bilateral laminectomy in two) and in one with paraparesis by means of hemicorporectomy followed by anterior fusion. At follow-up (minimum, 2 years), all patients showed complete regression of the painful symptoms, with a total recovery in cases with neurologic problems. The only complication was an incomplete cauda syndrome; this appeared immediately after the operation and regressed completely with conservative treatment after 6 months.
1984年至1987年，9例腰椎后突骨折患者接受了手术治疗。所有病例的临床症状均以脊柱僵硬和腿痛为特征，3例伴有神经根缺损，1例有神经源性间歇性跛行，1例有轻瘫。所有患者的治疗均包括切除骨和/或软骨碎片。8例患者通过后路手术（6例行单侧椎板切开术并部分切除小关节突，2例行双侧椎板切除术），1例轻瘫患者行半椎体切除术并前路融合术。随访（最短2年）时，所有患者疼痛症状完全消退，有神经问题的患者完全康复。唯一的并发症是不完全马尾综合征；该并发症在术后立即出现，6个月后经保守治疗完全消退。
