Bitan F, Bex M, Lassale B, Rocolle J, Deburge A, de La Caffinière J Y
Rev Chir Orthop Reparatrice Appar Mot. 1984;70(6):465-71.
The authors have performed 180 posterolateral fusions of the lumbar spine for various conditions. A new method of evaluation of the results is proposed using a careful analysis of the pre-operative and post-operative condition of the patient. The overall ratio of fusion was satisfactory and the etiology did not influence the result. The rate of fusion was not improved when screws were inserted into the articular processes. The level and extent of the arthrodesis did not affect the rate of fusion. Both sides should be fused whenever possible. The functional results were better in cases of degenerative spondylolisthesis than in cases of narrowing of the spinal canal without slipping. They were also better when fusion was obtained. Two cases of pure lumbar pain had good results provided that sedentary work could be done by the patient. A preoperative psychiatric examination was useful. The presence of overweight and a long preoperative period of pain were not favourable. In 49 cases, the arthrodesis was made after one or more previous surgical procedures. The results were more satisfactory when the arthrodesis was made without any associated operation on the spinal canal.
作者针对各种病症进行了180例腰椎后外侧融合术。提出了一种通过仔细分析患者术前和术后状况来评估结果的新方法。融合的总体比率令人满意，病因不影响结果。将螺钉插入关节突时，融合率并未提高。关节固定术的节段和范围不影响融合率。只要有可能，两侧均应融合。退行性腰椎滑脱病例的功能结果优于无滑脱的椎管狭窄病例。融合成功时功能结果也更好。两名单纯腰痛患者如果能够从事久坐工作则效果良好。术前进行精神科检查是有用的。超重和术前长期疼痛是不利因素。49例患者在一次或多次先前手术之后进行了关节固定术。在未对椎管进行任何相关手术的情况下进行关节固定术时，结果更令人满意。
