MIDTERM FOLLOW-UP OF YOUNG-PATIENTS FUSED INSITU FOR SPONDYLOLISTHESIS

被引:55
作者
FRENNERED, AK
DANIELSON, BI
NACHEMSON, AL
NORDWALL, AB
机构
[1] Department of Orthopaedics, Sahlgrenska Hospital, University of Goteborg, Göteborg
[2] Section of Orthopaedic Radiology, Sahlgrenska Hospital, University of Goteborg, Göteborg
[3] Department of Radiology, Sahlgrenska Hospital, University of Goteborg, Göteborg
关键词
Combined approach; In situ fusion; Low-back pain; Lumbar spine; Spondylolisthesis;
D O I
10.1097/00007632-199104000-00003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To evaluate the results of posterolateral fusion alone (66 patients) and combined posterolateral and anterior fusion (39 patients) in situ, 105 consecutive patients younger than 25 years of age with spondylolisthesis, retrospectively were examined clinically and radiologically. The follow-up rate was 98% after a mean of 8.2 years (range, 2.0-15.3). Pre- and postoperative progression of slip was rare (6% and 1%, respectively), and no prognostic factors were found. The definite pseudarthrosis rate was 6%. In patients with low- and high-grade slip, 67% and 88% (respectively) were satisfied at follow-up, suggesting that the indication for operative treatment in patients with low-grade slip is relative.
引用
收藏
页码:409 / 416
页数:8
相关论文
共 76 条
[1]  
Adkins E., Lumbo-sacral arthrodesis after laminectomy, J Bone Joint Surg, 37B, pp. 208-223, (1955)
[2]  
Andersson G., Schultz A., Nathan A., Irstam L., Roentgenographic measurement of lumbar intervertebral disc height, Spine, 6, pp. 154-158, (1981)
[3]  
Blackbume J.S., Velikas E.P., Spondylolisthesis in children and adolescents, J Bone Joint Surg, 59B, pp. 490-494, (1977)
[4]  
Bosworth D.M., Fielding J.W., Demarest L., Bonaquist M., Spondylolisthesis. A critical review of a consecutive series of cases treated by arthrodesis, J Bone Joint Surg, 37A, pp. 767-786, (1955)
[5]  
Boxall D., Bradford D.S., Winter R.B., Moe J.H., Management of severe spondylolisthesis in children and adolescents, J Bone Joint Surg, 61A, (1979)
[6]  
Bradford D.S., Treatment of severe spondylolisthesis. A combined approach for reduction and stabilization, Spine, 4, pp. 423-429, (1979)
[7]  
Bradford D.S., Gotfried Y., Staged salvage reconstruction of grade IV and V spondylolisthesis, J Bone Joint Surg, 69A, pp. 191-202, (1987)
[8]  
Bradford D.S., Closed reduction of spondylolisthesis. An experience in 22 patients, Spine, 13, pp. 580-587, (1988)
[9]  
Bradley J.W., Distribution-Free Statistical Tests, pp. 68-86, (1968)
[10]  
Capra P., Mayer T.G., Gatchel R., Adding psychological scales to your back pain assessment, J Muse Med, 2, pp. 41-52, (1985)