Jakob G
Arch Orthop Unfallchir. 1977 Dec 9;90(2):103-11. doi: 10.1007/BF00414985.
The author gives account of a direct osteosynthesis--joining the defect of the interarticular part--made in case of spondylolisthesis in his department. They carry out the operation having modified the method of Buck as they use A-O malleolar compression screw instead of all threaded screw. Applying compression screws the author can ensure a successful osteosynthesis in case of a greater vertebral displacement. This method widens the indication area of the operation. The adventage of the operation over other ones made in spondylolisthesis is the fact that after the wound-healing the patient can get up and the lumbar spine will not be limited in motion. The operation was made in 16 cases until now and operative complication was not observed. They propose to make this operation as early as possible in case of definite spondylolisthesis to prevent the development of further progression.
作者讲述了他所在科室针对腰椎滑脱症进行的一种直接骨合成术——连接关节间部分的缺损。他们对巴克氏方法进行了改进后开展手术，因为他们使用的是AO型踝关节加压螺钉而非全螺纹螺钉。通过应用加压螺钉，作者能够在椎体移位较大的情况下确保骨合成成功。这种方法扩大了手术的适应证范围。该手术相较于其他针对腰椎滑脱症所做的手术的优势在于，伤口愈合后患者即可起床，且腰椎的活动不受限。截至目前，该手术已实施了16例，未观察到手术并发症。他们建议在确诊腰椎滑脱症后尽早进行此手术，以防止病情进一步发展。
