Darnis A, Launay O, Perrin G, Barrey C
Service de neurochirurgie C et chirurgie du rachis, hôpital neurologique P. Wertheimer, université Claude Bernard Lyon 1, 59, boulevard Pinel, 69003 Lyon, France.
Service de neurochirurgie C et chirurgie du rachis, hôpital neurologique P. Wertheimer, université Claude Bernard Lyon 1, 59, boulevard Pinel, 69003 Lyon, France.
Orthop Traumatol Surg Res. 2014 May;100(3):347-51. doi: 10.1016/j.otsr.2013.12.021. Epub 2014 Mar 19.
Multilevel lumbar spondylolysis accounts for less than 6% of the cases of lumbar spondylolysis and its treatment, as reported in the literature, has not been consistent. Fewer than ten cases presenting triple lumbar spondylosis have been published. We describe the case of a 33-year-old male presenting bilateral L3, L4, and L5 isthmic lysis with no spondylolisthesis or disc degeneration. The MRI and CT of the lumbar spine were decisive elements in the therapeutic choice and the surgical treatment performed was bilateral L3 and L4 isthmic repair via a combined anterior and posterior L5S1 approach. The clinical and radiological results were good at the last follow-up visit.
据文献报道，多节段腰椎峡部裂占腰椎峡部裂病例的比例不到6%，其治疗方法也不一致。已发表的呈现三节段腰椎峡部裂的病例少于十例。我们描述了一名33岁男性的病例，该患者双侧L3、L4和L5峡部裂，无椎体滑脱或椎间盘退变。腰椎的MRI和CT是治疗选择的决定性因素，所实施的手术治疗是通过L5S1前后联合入路进行双侧L3和L4峡部修复。在最后一次随访时，临床和影像学结果良好。
