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峡部裂性腰椎滑脱症采用撑开棒器械联合后外侧融合术。53例患者随访18至89个月。

Distraction rod instrumentation with posterolateral fusion in isthmic spondylolisthesis. 53 cases followed for 18-89 months.

作者信息

Kaneda K, Satoh S, Nohara Y, Oguma T

出版信息

Spine (Phila Pa 1976). 1985 May;10(4):383-9. doi: 10.1097/00007632-198505000-00016.

DOI:10.1097/00007632-198505000-00016
PMID:4049099
Abstract

Fifty-three cases of isthmic spondylolisthesis were treated with distraction rod instrumentation and posterolateral fusion with or without nerve root decompression, and they were followed for an average of 39 months. Thirty-one cases without neurologic deficit were treated with instrumentation and fusion only. In 22 cases of predominant sciatic pain with neurologic deficit signs, nerve root decompression and instrumentation with fusion were conducted. The results showed a 90.6% solid union rate with satisfactory clinical improvement. Realignment of the vertebral displacement such as reduction of olisthesis and widening of the olisthetic disc spaces was obtained to some extent. No serious complications were encountered.

摘要

53例峡部裂性腰椎滑脱症患者接受了撑开棒内固定及后外侧融合术,部分患者同时进行了神经根减压,平均随访39个月。31例无神经功能缺损的患者仅接受了内固定及融合术。22例以坐骨神经痛为主且有神经功能缺损体征的患者,进行了神经根减压、内固定及融合术。结果显示融合成功率为90.6%,临床改善情况良好。椎体移位得到了一定程度的复位,如滑脱程度减轻、滑脱椎间隙增宽。未出现严重并发症。

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