Hanley E N
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, NC 28232-2861, USA.
Bull Hosp Jt Dis. 1996;55(3):154-7.
A wide variety of lumbar spinal conditions have been managed by spinal fusion. Results appear better when the diagnosis is specific and related to definable instability or deformity in patients with a stable psychologic state. Success rates are higher in isthmic spondylolisthesis, unstable spinal stenosis syndromes (degenerative spondylolisthesis, degenerative scoliosis), and in patients with objective segmental instability. Variable success rates are reported for disk-related low back pain conditions and in patients with failed previous surgery. Instrumentation appears to be beneficial in situations in which complex deformities or obvious instability are present.
多种腰椎疾病已通过脊柱融合术进行治疗。当诊断明确且与心理状态稳定的患者可明确界定的不稳定或畸形相关时，结果似乎更好。峡部裂型腰椎滑脱、不稳定型腰椎管狭窄综合征（退行性腰椎滑脱、退行性脊柱侧凸）以及存在客观节段性不稳定的患者成功率更高。对于与椎间盘相关的下腰痛情况以及既往手术失败的患者，报道的成功率各不相同。在存在复杂畸形或明显不稳定的情况下，内固定似乎有益。
