Kozak J A, O'Brien J P
London Clinic, England.
Spine (Phila Pa 1976). 1990 Apr;15(4):322-8. doi: 10.1097/00007632-199004000-00014.
Sixty-nine patients were treated by a simultaneous combined anterior and posterior fusion for disabling low-back pain as directed by discographic pain provocation. They were evaluated independently, with an average follow-up of 2 1/2 years (range, 1.6 to 4.1 years). Fusion rates in excess of 90% were noted in patients who had undergone one- and two-level fusions, whereas the fusion rate for three-level procedures dropped to 77.8%. Acceptable clinical results were seen in approximately 80% of the primary low-back pain and the postlaminectomy patients. Results within the group of patients who had undergone previous fusion procedures were less favorable: two thirds good or fair. The available evidence suggests that this procedure is a valid surgical technique, especially applicable to multilevel lumbar fusions and the postlaminectomy patient. Despite its seemingly radical nature, it can be performed quickly and safely with adequate surgical training.
69例患者因椎间盘造影激发试验诱发的顽固性下腰痛接受了前后路同期联合融合术治疗。他们接受了独立评估，平均随访2.5年（范围1.6至4.1年）。接受单节段和双节段融合术的患者融合率超过90%，而三节段手术的融合率降至77.8%。约80%的原发性下腰痛患者和椎板切除术后患者获得了可接受的临床结果。既往接受过融合手术的患者组的结果不太理想：三分之二为良好或尚可。现有证据表明，该手术是一种有效的外科技术，尤其适用于多节段腰椎融合术和椎板切除术后患者。尽管其性质看似激进，但经过充分的手术培训，该手术可以快速、安全地实施。
