Soren A, Waugh T R
Clin Orthop Relat Res. 1985 Mar(193):171-7.
A close relation exists among the alterations in the lumbosacral spine designated as spondylolysis, isthmic spondylolisthesis, degenerative spondylolisthesis, and prespondylolisthesis. While the former two conditions are probably caused by faulty development and subsequent minor traumata or repeated stresses, the third condition is caused by degenerative changes associated with anatomic variations; the fourth condition is a static insufficiency leading to faulty alignment. In 105 patients, the initial preferred management of these conditions was conservative. Thirty-four patients who developed persistent symptoms of spinal instability and/or intractable neurologic deficits were treated surgically. The results were generally successful.
被称为椎弓根峡部裂、峡部裂性腰椎滑脱、退变性腰椎滑脱和腰椎滑脱前期的腰骶椎改变之间存在密切关系。虽然前两种情况可能是由发育缺陷以及随后的轻微创伤或反复应力引起的，但第三种情况是由与解剖变异相关的退行性改变引起的；第四种情况是一种导致排列错误的静态功能不全。在105例患者中，这些情况最初首选的治疗方法是保守治疗。34例出现持续性脊柱不稳定症状和/或顽固性神经功能缺损的患者接受了手术治疗。结果总体上是成功的。
