Mostofi Keyvan, Khouzani Reza Karimi
Department of Neurosurgery, Clinical Center of Soyaux, Soyaux, France.
Department of Neurosurgery, Clinical Center of Rottal-Inn, Bavaria, Germany.
J Craniovertebr Junction Spine. 2017 Jul-Sep;8(3):239-242. doi: 10.4103/jcvjs.JCVJS_78_17.
Spondylolysis is a defect in the portion of pars interarticularis. The latter affects approximately 6% of the population. It is caused by repetitive trauma in hyperextension. Low back pain is the most common symptom.
We implanted interspinous process devices in 12 patients with isthmic lysis without spondylolisthesis for low back pain. The purpose of the surgery was to conduct a minimally invasive procedure.
In eight cases, patients became asymptomatic. In two cases, there has been a considerable improvement. In two cases, no change had been noted.
This good result motivates us to consider this approach a part of therapeutic arsenal for some cases of spondylolysis.
峡部裂是关节突间部的一种缺损。后者影响约6%的人群。它由反复的过伸性创伤引起。腰痛是最常见的症状。
我们为12例无椎体滑脱的峡部裂性腰痛患者植入棘突间装置。手术目的是进行微创手术。
8例患者无症状。2例有显著改善。2例无变化。
这一良好结果促使我们将这种方法视为某些峡部裂病例治疗手段的一部分。