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侧块融合术。一项对连续病例系列进行长期随访的前瞻性研究。

Lateral mass fusion. A prospective study of a consecutive series with long-term follow-up.

作者信息

Jackson R K, Boston D A, Edge A J

出版信息

Spine (Phila Pa 1976). 1985 Nov;10(9):828-32.

PMID:4089658
Abstract

A prospective study of a consecutive series of lateral mass fusion operations was undertaken between 1972 and 1982 in 144 patients, of whom 129 were available for review. The main indications for operation were persistent back pain associated with spondylolisthesis, localized degenerative disease of the lumbar spine and previous laminectomy and disc excision. The minimum follow-up was 2 years. Although 83% of patients were improved overall, the results in spondylolisthesis and degenerative disease without previous surgery were much better than in those who had previously had disc excision. A pseudarthrosis was found in 13% of patients and was significantly more likely (P less than 0.05) when fusion at more than one level was attempted. There were no serious long-term complications.

摘要

1972年至1982年间,对连续一系列的144例侧块融合手术患者进行了一项前瞻性研究,其中129例可供复查。手术的主要指征是与腰椎滑脱相关的持续性背痛、腰椎局限性退行性疾病以及既往椎板切除术和椎间盘切除术。最短随访时间为2年。尽管83%的患者总体情况有所改善,但腰椎滑脱和未经手术的退行性疾病患者的结果比那些先前接受过椎间盘切除术的患者要好得多。13%的患者出现了假关节形成,当尝试进行多个节段融合时,出现假关节形成的可能性显著更高(P小于0.05)。没有严重的长期并发症。

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