Wang J M, Kim D J, Yun Y H
Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University, Seoul, Korea.
J Spinal Disord. 1996 Apr;9(2):83-8.
Between 1988 and 1993, we treated 21 adults with symptomatic lumbar spondylolysis by a combined surgery of posterior stabilization and anterior interbody fusion. Our indication for this combined surgery was persistent pain that was unresponsive to conservative measures and segmental instability on flexion-extension roentgenogram. The patients' mean age at the time of surgery was 34 years (range 24-42 years). All patients showed degenerated disks on preoperative magnetic resonance imaging. The mean follow-up period was 30.4 months. The clinical result was excellent or good in 95%, and the radiographic fusion was successful in 95%. Prolonged pain at the donor site was the most common complication, which usually disappeared by 3 months after the operation. We recommend the combined surgery of posterior instrumentation and anterior fusion to stabilize symptomatic adult lumbar spondylolysis.
1988年至1993年间，我们采用后路稳定术与前路椎间融合术联合手术治疗了21例有症状的成人腰椎峡部裂患者。我们进行这种联合手术的指征是持续疼痛，对保守治疗无反应，以及屈伸位X线片显示节段性不稳定。手术时患者的平均年龄为34岁（范围24 - 42岁）。所有患者术前磁共振成像均显示椎间盘退变。平均随访期为30.4个月。临床结果95%为优或良，影像学融合成功率为95%。供区持续性疼痛是最常见的并发症，通常在术后3个月消失。我们推荐采用后路内固定与前路融合联合手术来稳定有症状的成人腰椎峡部裂。
