Peek R D, Wiltse L L, Reynolds J B, Thomas J C, Guyer D W, Widell E H
Memorial Medical Center, Long Beach.
J Bone Joint Surg Am. 1989 Jan;71(1):62-8.
Eight adults who had back pain and sciatica that was caused by Grade-III or IV isthmic spondylolisthesis of the fifth lumbar vertebra on the sacrum were treated consecutively by in situ arthrodesis without decompression. The anterior displacement of the fifth lumbar vertebra averaged 82 per cent (range, 66 to 118 per cent). The length of follow-up averaged 5.5 years (range, two to fourteen years). All of the arthrodeses resulted in a solid fusion and excellent relief of both the back pain and the sciatica. All of the preoperative neurological deficits resolved, with the exception of a decreased or absent Achilles-tendon reflex in two patients. There were no complications, and all of the patients returned to their preoperative occupations.
八名因第五腰椎Ⅲ级或Ⅳ级峡部裂性椎体滑脱致骶骨处背痛和坐骨神经痛的成年人，连续接受了未减压的原位关节融合术治疗。第五腰椎的前移位平均为82%（范围为66%至118%）。随访时间平均为5.5年（范围为2至14年）。所有关节融合术均实现了牢固融合，背痛和坐骨神经痛均得到显著缓解。除两名患者跟腱反射减弱或消失外，所有术前神经功能缺损均得到恢复。无并发症发生，所有患者均恢复了术前的工作。
