Marchetti P G, Binazzi R, Briccoli A, Vaccari V, Borelli P, De Zerbi M, Manca A, Landi S
Clinica Ortopedica, Università, Bologna.
Chir Organi Mov. 1994 Jan-Mar;79(1):85-91.
The authors report the results obtained in 244 patients submitted to anterior interbody fusion. The method involves preoperative reduction in plaster (when necessary) and anterior surgical stabilization, facilitated by improvement in the anatomical and biomechanical conditions obtained with reduction. This method obtained excellent results in 85% of the cases, with fusion and absence of symptoms, and good results in 10% of the cases, with occasional symptoms and/or fibrous. Results were unsatisfactory in 5% of the cases because of residual radiculopathy (4 cases), non-union of the fusion (3 cases), retrograde ejaculation (2 cases), loosening of the graft (1 case) or unthreading of a screw (1 case). It is our opinion that anterior interbody fusion is the best surgical method for the stabilization of Meyerding grades III, IV and V spondylolisthesis. Posterolateral fusion is used to treat some cases with slippage equal to less than 25% (grade I) and cases where more than one level is involved.
作者报告了244例行前路椎间融合术患者的治疗结果。该方法包括术前必要时在石膏固定下进行复位以及前路手术稳定，通过复位所获得的解剖学和生物力学条件的改善来促进手术。此方法在85%的病例中取得了优异的效果，实现了融合且无症状，在10%的病例中取得了良好的效果，有偶尔的症状和/或纤维连接。5%的病例结果不理想，原因包括残留神经根病（4例）、融合未愈合（3例）、逆行射精（2例）、移植物松动（1例）或螺钉脱扣（1例）。我们认为前路椎间融合术是稳定迈耶丁Ⅲ级、Ⅳ级和Ⅴ级腰椎滑脱的最佳手术方法。后外侧融合术用于治疗一些滑脱小于25%（Ⅰ级）的病例以及涉及多个节段的病例。
