Nachemson A
Clin Orthop Relat Res. 1976 Jun(117):101-5.
A technique, applicable to young patients with mild to moderate symptoms from a pars defect is described. It is based on the concept that bone grafting of the pseudoarthrosis and an intertransverse fusion using small fesh autogenous concellous grafts from the ilium will prevent further slip. Gratifying results have been obtained in 12 patients, 12 to 18 years of age, with a minimum follow-up of 12 months. The pars defect in all patients healed in 6 months, with a short period of hospitalization and applying a lumbosacral corset as the only means of postoperative immobilization in 7 patients. In 5 patients with a concomitant scoliosis, 3 of whom were surgically treated, the Milwaukee brace was used for immobilization.
本文描述了一种适用于患有轻度至中度椎弓峡部裂症状的年轻患者的技术。该技术基于这样的理念，即对假关节进行骨移植并使用取自髂骨的小块自体松质骨进行横突间融合，可防止进一步滑脱。对12例年龄在12至18岁的患者进行了该技术治疗，至少随访12个月，取得了令人满意的结果。所有患者的椎弓峡部裂均在6个月内愈合，7例患者住院时间短，术后仅使用腰骶部束腰作为固定手段。在5例伴有脊柱侧凸的患者中，其中3例接受了手术治疗，使用密尔沃基支具进行固定。
