Salib R M, Pettine K A
Institute for Low Back Care, Minneapolis, Minnesota.
Spine (Phila Pa 1976). 1993 Mar 15;18(4):440-3.
A surgical technique for treatment of spondylolysis or minimal isthmic spondylolisthesis is described. The authors based their treatment on the Scott technique, which involves placing an 18-gauge stainless steel wire around the transverse process bilaterally and then tightening the wires to each other inferiorly to the posterior spinal process. The modified technique consists of a tension band wire around the posterior spinous process and a 4.5 mm AO cortical screw in the pedicle. A case study of a 20-year old female athletic student is presented to illustrate the effectiveness of the modified technique. The authors believe that this technique offers the advantages of maintaining all motion segments and avoiding the risks of damaging the exciting nerve root just beneath the transverse process.
本文描述了一种治疗椎弓根峡部裂或轻度峡部裂性腰椎滑脱的手术技术。作者的治疗方法基于斯科特技术，该技术包括在双侧横突周围放置一根18号不锈钢丝，然后在脊髓后突下方将钢丝相互收紧。改良技术包括在棘突后方使用张力带钢丝和在椎弓根内使用一枚4.5毫米的AO皮质骨螺钉。本文通过一名20岁女性体育专业学生的病例研究来说明改良技术的有效性。作者认为，该技术具有保留所有运动节段的优点，并且避免了损伤横突下方紧邻的神经根的风险。
