Haraldsson S, Willner S
Arch Orthop Trauma Surg (1978). 1983;101(2):101-5. doi: 10.1007/BF00433269.
Forty-five patients with spondylolisthesis have been reviewed, all operated with the same surgical procedure: dorso-lateral bilateral fusion. A comparative study was made between two age groups-adolescents (n=22) and adults (n=23). Preoperative symptoms, clinical signs and X-rays of the patients were analysed and compared with postoperative results. The symptoms observed preoperatively differ between these two age groups. In the adolescents, low back pain dominated, whereas sciatic pain did so in the adults. Scoliosis and spina bifida were only found in the younger group, but disc degeneration was, as expected, more often found in the older group. The postoperative results were improved considerably in the younger group and it is suggested that the main cause of the preoperative symptoms in these patients was instability. In the adults, on the other hand, the symptoms seemed to be less due to this instability but rather to other factors, such as disc degeneration and nerve root compression.
对45例腰椎滑脱患者进行了回顾性研究，所有患者均采用相同的手术方法：双侧后外侧融合术。对两个年龄组——青少年（n = 22）和成年人（n = 23）进行了对比研究。分析了患者的术前症状、临床体征和X线检查结果，并与术后结果进行了比较。这两个年龄组术前观察到的症状有所不同。在青少年中，以腰痛为主，而在成年人中则以坐骨神经痛为主。脊柱侧弯和脊柱裂仅在较年轻的组中发现，但正如预期的那样，椎间盘退变在较年长的组中更常见。较年轻组的术后结果有显著改善，提示这些患者术前症状的主要原因是不稳定。另一方面，在成年人中，症状似乎较少归因于这种不稳定，而更多地归因于其他因素，如椎间盘退变和神经根受压。
