Orthopädische Klinik der Philipps-Universität, Marburg/Lahn, Federal Republic of Germany.
Eur Spine J. 1992 Jun;1(1):49-52. doi: 10.1007/BF00302143.
Based on the observation of three clinical cases of late onset (after growth arrest) spondylolisthesis, the different pathogenetic factors for lumbar instability in adulthood are discussed. A causal classification based on functional and morphological criteria clearly separates the "genuine" traumatic spondylolisthesis from other forms causing instability (with spondylolysis) within a lumbar motion segment. The possibility of developing spondylolisthesis even after growth arrest is hereby proven. Consequences for appraisal procedures are discussed, and an example for possible surgical management is given.
基于对三例迟发性（生长停止后）脊椎滑脱临床病例的观察，对成年腰椎不稳定的不同发病因素进行了讨论。根据功能和形态标准的因果分类，明确区分了“真性”创伤性脊椎滑脱和其他引起腰椎运动节段不稳定（伴脊椎裂）的形式。由此证明，即使在生长停止后也有可能发生脊椎滑脱。讨论了对评估程序的影响，并给出了可能的手术治疗的实例。
