Macagno Angel E, Hasan Saqib, Jalai Cyrus M, Worley Nancy, de Moura Alexandre B, Spivak Jeffrey, Bendo John A, Passias Peter G
NY Spine Institute/NYU Medical Center Hospital for Joint Diseases, New York, NY, United States.
Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, United States.
J Orthop. 2016 Jan 22;13(1):1-9. doi: 10.1016/j.jor.2015.12.004. eCollection 2016 Mar.
BACKGROUND/AIMS: Surgical techniques for effective high-grade spondylolisthesis (HGS) remain controversial. This study aims to evaluate radiographic/clinical outcomes in HGS patients treated using modified "Reverse Bohlman" (RB) technique.
Review of consecutive HGS patients undergoing RB at a single university-center from 2006 to 2013. Clinical, surgical, radiographic parameters collected.
Six patients identified: five with L5-S1 HGS with L4-L5 instability and one had an L4-5 isthmic spondylolisthesis and grade 1 L5-S1 isthmic spondylolisthesis. Two interbody graft failures and one L5-S1 pseudoarthrosis. Postoperative improvement of anterolisthesis (62.3% vs. 49.6%, p = 0.003), slip angle (10 vs. 5°, p = 0.005), and lumbar lordosis (49 vs. 57.5°, p = 0.049).
RB technique for HGS recommended when addressing adjacent level instability/slip.
背景/目的：治疗重度腰椎滑脱（HGS）的手术技术仍存在争议。本研究旨在评估采用改良“反向博尔曼”（RB）技术治疗的HGS患者的影像学/临床疗效。
回顾2006年至2013年在单一大学中心接受RB手术的连续性HGS患者。收集临床、手术及影像学参数。
共纳入6例患者：5例为L5-S1 HGS伴L4-L5节段不稳，1例为L4-5峡部裂性腰椎滑脱及1度L5-S1峡部裂性腰椎滑脱。发生2例椎间融合器失败及1例L5-S1假关节形成。术后椎体前移（62.3%对49.6%，p = 0.003）、滑脱角（10°对5°，p = 0.005）及腰椎前凸（49°对57.5°，p = 0.049）均有改善。
处理相邻节段不稳/滑脱时，推荐采用RB技术治疗HGS。
