CLINICAL-STUDY ON STABILITY OF COMBINED DISTRACTION AND COMPRESSION ROD INSTRUMENTATION WITH POSTEROLATERAL FUSION FOR UNSTABLE DEGENERATIVE SPONDYLOLISTHESIS

被引：25

作者：

FUJIYA, M

SAITA, M

KANEDA, K

ABUMI, K

机构：

[1] Hokkaido Orthopedic Memorial Hospital, Hokkaido University School of Medicine, Sapporo

[2] Department of Orthopedic Surgery, Hokkaido University School of Medicine, Sapporo

来源：

SPINE | 1990年 / 15卷 / 11期

关键词：

Posterolateral fusion; Spinal instrumentation; Unstable degenerative spondylolisthesis;

D O I：

10.1097/00007632-199011010-00023

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors examined the stability of combined distraction and compression rod instrumentation with posterolateral fusion in 40 consecutive patients with unstable degenerative spondylolisthesis. All operations were performed by floating fusion of L3-4 or L4-5 after decompression procedures. Mobility at the fused level was checked every 4 weeks after operation by the disc space angle on the functional radiographic films without brace. The average period of postoperative follow-up was 26 months. In 30 patients, no mobility was found at any time. In six patients, any mobility disappeared within 24 weeks, and in three patients, within 1 year. Pseudarthrosis was found in one patient. The solid fusion rate was 97.5%. The values of percent slippage and slip angle were slightly improved. Lumbar lordosis was in the normal range at follow-up. © Lippincott-Raven Publishers.

引用

页码：1216 / 1222

页数：7

共 18 条

[1]

Cotrel Y., Dubousset J., Guillaumat M., New universal instrumentation in spinal surgery, Clin Orthop, 227, pp. 10-23, (1988)

[2]

Fitzgerald J., Newman P.H., Degenerative spondylolisthesis, J Bone Joint Surg, 58B, pp. 184-192, (1976)

[3]

Guyer D.W., Yuan H.A., Werner F.W., Frederickson B.E., Murphy D., Biomechanical comparison of seven internal fixation devices for the lumbosacral junction, Spine, 12, pp. 569-573, (1987)

[4]

Kaneda K., Higuchi M., Nohara Y., Oguma T., Satoh S., Posterolateral fusion with instrumentation in the symptomatic failed back patients, J Jpn Orthop Assoc, 58, pp. 323-330, (1984)

[5]

Kaneda K., Satoh S., Nohara Y., Oguma T., Distraction rod instrumentation with posterolateral fusion in isthmic spondylolisthesis, Spine, 10, pp. 383-389, (1985)

[6]

Kaneda K., Kazama H., Satoh S., Fujiya M., Follow-up study of medial facetectomies and posterolateral fusion with instrumentation in unstable degenerative spondylolisthesis, Clin Orthop, 203, pp. 159-167, (1986)

[7]

Knodt H., Larrick R.B., Distraction fusion of the spine, Ohio State Medical Journal, 60, (1964)

[8]

Kostuik J.P., Errico T.J., Gleason T.F., Techniques of internal fixation for degenerative conditions of the lumbar spine, Clin Orthop, 203, pp. 219-231, (1986)

[9]

Krag M.H., Beynnon B.D., Pope M.H., Et al., An internal fixator for posterior application to short segments of thoracic, lumbar, or lumbosacral spine, Clin Orthop, 203, pp. 75-98, (1986)

[10]

Louis R., Fusion of the lumbar and sacral spine by internal fixation with screw plates, Clin Orthop, 203, pp. 18-33, (1986)

← 1 2 →