Ventura J M, Justice B D
J Manipulative Physiol Ther. 1988 Feb;11(1):41-2.
A case of sacroiliac syndrome and lumbar facet capsulitis coexisting with an asymptomatic grade II spondylolisthesis is presented. Spinal manipulative therapy is not contraindicated in the presence of spondylolisthesis if specific to the site of joint hypomobility and if the underlying spondylolisthesis is stable. Manipulation may prove to be diagnostic as well as therapeutic. The need to clinically assess whether the spondylolisthesis is symptomatic is discussed.
本文报告一例骶髂关节综合征、腰椎小关节囊炎与无症状II级腰椎滑脱并存的病例。如果针对关节活动度降低的部位进行特定操作，且潜在的腰椎滑脱稳定，那么在存在腰椎滑脱的情况下，脊柱手法治疗并非禁忌。手法治疗可能具有诊断和治疗双重作用。文中讨论了临床评估腰椎滑脱是否有症状的必要性。
