PEDICULAR TRANSVERTEBRAL SCREW FIXATION OF THE LUMBOSACRAL SPINE IN SPONDYLOLISTHESIS - A NEW TECHNIQUE FOR STABILIZATION

被引:68
作者
ABDU, WA
WILBER, RG
EMERY, SE
机构
[1] DARTMOUTH HITCHCOCK MED CTR,DEPT SURG,ORTHOPAED SECT,LEBANON,NH
[2] CASE WESTERN RESERVE UNIV,SCH MED,DEPT ORTHOPAED,CLEVELAND,OH 44106
关键词
SPONDYLOLISTHESIS; SYMPTOMATIC PSEUDOARTHROSIS; LUMBOSACRAL STABILIZATION;
D O I
10.1097/00007632-199403001-00011
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Controversy exists about which method is most appropriate for treating moderate- to high grade spondylolisthesis and symptomatic pseudarthrosis. The authors report preliminary results of pedicular transvertebral screw fixation, a new technique for stabilizing the lumbosacral junction in moderate- to high-grade spondylolisthesis. Using this technique, fusion was Successful in three patients, two with an established pseudarthrosis. Pedicular transvertebral screw fixation provides immediate three-column stabilization of the lumbosacral junction. The technique is safe, effective, and employs instrumentation common to spine surgery. Its use in high-grade slips makes the technique more simple to perform than other methods of lumbosacral stabilization.
引用
收藏
页码:710 / 715
页数:6
相关论文
共 36 条
[1]  
N Keppler L., Biscup R.S., Steffee A.D., Reduction of high-grade slips (Grades III—V) with VSP® instrumentation: Report of a series of 41 cases, Spine, 16, pp. S302-S310, (1991)
[2]  
Bradford D.S., Closed reduction of spondylolisthesis: An experience in 22 patients, Spine, 13, pp. 580-587, (1988)
[3]  
Bradford D.S., Operative Treatment: Adults, pp. 528-545, (1990)
[4]  
Bradford D.S., Boachie-Adjei O., Treatment of severe spon-dylolisthesis by anterior and posterior reduction and stabilization: A long-term follow-up study, J Bone Joint Surg, 72A, 7, pp. 1060-1066, (1990)
[5]  
Bradford D.S., Gotfried Y., Staged salvage reconstruction of grade-IV and V spondylolisthesis, J Bone Joint Surg, 69A, 2, pp. 191-202, (1987)
[6]  
Carson W.L., Duffield R.C., Arendt M., Ridgely B.J., Gaines R.W., Internal forces and moments in transpedicular spine instrumentation: The effect of pedicle screw angle and trans-fixation—the 4R-4Bar linkage concept, Spine, 15, (1990)
[7]  
Carlson G.D., Abitbol J.J., Erson D.R., Et al., Screw fixa¬tion in the human sacrum, Spine, 17, pp. S196-S203, (1992)
[8]  
Cheng C.L., Fang D., Lee P.C., Leong J., Anterior spinal fusion for spondylolysis and isthmic spondylolisthesis: Long-term results in adults, J Bone Joint Surg, 71B, 2, (1989)
[9]  
Denis F., The three column spine and its significance in the classification of acute thoracolumbar spinal injuries, Spine, 8, pp. 817-831, (1983)
[10]  
Dick W.T., Schnebel B., Severe spondylolisthesis: Reduction and internal fixation, Clin Orthop Rel Res, 232, (1988)