Friedman R J, Micheli L J
Clin Orthop Relat Res. 1984 Nov(190):132-4.
The association between scoliosis and spondylolisthesis is well documented; however, spondylolisthesis following a posterior spinal fusion with Harrington rod instrumentation for idiopathic scoliosis has not been previously reported. Internal fixation of the spine with metal rods and fusion for scoliosis produces a stress concentration at the immediately adjacent levels. This, combined with other factors that may cause failure of the neural arch, can lead to a traumatic spondylolisthesis. In an 11-year-old boy, localized pain and impending listhesis indicated that the instrumentation should be removed and an arthrodesis completed.
脊柱侧弯与椎体滑脱之间的关联已有充分记录；然而，此前尚无关于特发性脊柱侧弯采用哈灵顿棒器械进行后路脊柱融合术后发生椎体滑脱的报道。用金属棒对脊柱进行内固定并融合治疗脊柱侧弯会在紧邻节段产生应力集中。这与其他可能导致椎弓破坏的因素相结合，可引发创伤性椎体滑脱。在一名11岁男孩中，局部疼痛和即将发生的椎体滑脱表明应取出器械并完成关节融合术。
