Michel C R, Caton J, Samani J, Berard J
Chir Pediatr. 1984;25(3):161-3.
Following a brief summary of results of surgery of major spondylolisthesis of children using Harrington's technique, the outcome in 15 cases operated upon between 1967 and 1983 is discussed. Satisfactory short-term results (reduction perfect in 40% and fair in 60%) were not maintained and a relapse of sliding occurred in 50% at a later stage. In order to improve long-term stability. Harrington's classical procedure was combined with Luque's technique with binding of posterior arches of L3 and L4 to metallic spars in major L5-S1 spondylolisthesis. Two adolescents with very disabling L4-L5 spondylolisthesis were operated upon by Luque's original method combining partial resection of supra- and sub-jacent articular surfaces and isthmic reconstruction by grafts with excellent immediate results. This method is also discussed.
在简要总结采用哈灵顿技术治疗儿童重度腰椎滑脱症的手术结果后，本文讨论了1967年至1983年间接受手术的15例患者的治疗结果。短期效果令人满意（40%复位完美，60%尚可），但后期50%的患者出现了滑脱复发。为提高长期稳定性，在重度L5 - S1腰椎滑脱症中，将哈灵顿经典手术与鲁克技术相结合，即把L3和L4的后弓与金属棒捆绑固定。两名患有严重L4 - L5腰椎滑脱症的青少年采用鲁克原始方法进行手术，该方法包括部分切除相邻上下关节面并通过植骨进行峡部重建，术后即刻效果极佳。本文也对该方法进行了讨论。
