NATURAL-HISTORY OF DEGENERATIVE SPONDYLOLISTHESIS - PATHOGENESIS AND NATURAL COURSE OF THE SLIPPAGE

被引：163

作者：

MATSUNAGA, S

SAKOU, T

MORIZONO, Y

MASUDA, A

DEMIRTAS, AM

机构：

[1] Department of Orthopaedic Surgery, Kagoshima University, Kagoshima

[2] Department of Orthopaedic Surgery and Traumatology, Ankara University, Sihhiye-Ankara

来源：

SPINE | 1990年 / 15卷 / 11期

关键词：

Degenerative spondylolisthesis; Progression of slippage; Spinal restabilization;

D O I：

10.1097/00007632-199011010-00021

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

To clarify the natural course of degenerative spondylolisthesis, the mechanism and progression of disk slippage were studied clinically and radiographically in 40 patients. Progressive slippage was observed in 12 patients (30%). No progression of slippage was noted in patients who showed narrowing of the intervertebral disk, spur formation, subcartilaginous sclerosis, or ossification of ligaments. These suggest that the mechanisms of spinal restabilization prevent progression of the disease. General joint laxity was observed in many patients (65%), and this was believed to be involved in the pathogenic mechanism of this disease. There was no correlation between the clinical symptoms and progression of slippage. These findings suggest that careful consideration of the natural mechanisms of spinal restabilization as well as the natural course of the disease is important. © Lippincott-Raven Publishers.

引用

页码：1204 / 1210

页数：7

共 21 条

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