POSTERIOR INTERBODY ARTHRODESIS WITH A FIBULAR STRUT GRAFT IN SPONDYLOLISTHESIS

被引:36
作者
ESSES, SI [1 ]
NATOUT, N [1 ]
KIP, P [1 ]
机构
[1] TORONTO GEN HOSP, TORONTO, ON, CANADA
关键词
D O I
10.2106/00004623-199502000-00002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We reviewed the results of posterior interbody arthrodesis of the fifth lumbar and first sacral vertebrae with the use of a fibular strut graft in nine patients who had had a grade-III, IV, or V spondylolisthesis. The average age of the patients at the time of the operation was twenty-seven years (range, seventeen to thirty-two years). The average duration of the symptoms preoperatively was three years (range, nine months to eleven years), and the average duration of follow-up was three years (range, two to five years). The most common preoperative symptom was back pain, which was rated an average of 8.3 points (7, 8, or 9 points) on a visual-analog scale of 1 to 10 points. The average angle of the slip was 45 degrees (range, 15 to 70 degrees). Four of the slips were grade III, four were grade IV, and one was grade V. Postoperatively, the average pain score was 1.4 points (1, 2, or 3 points). This improvement was significant (p < 0.05, Student t test). All nine patients had roentgenographic evidence of osseous fusion at the one-year follow-up examination. Complications included a dural tear in one patient, a superficial wound infection in two patients, temporary weakness of the evertors of the foot in six patients, and transient decreased sensation along the dorsum of the foot of the donor leg in two patients.
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页码:172 / 176
页数:5
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