THE USE OF PRIMARY INTERNAL-FIXATION IN SPONDYLOLISTHESIS

被引:128
作者
MCGUIRE, RA
AMUNDSON, GM
机构
[1] Department of Orthopaedics, University of Mississippi Medical Center, Jackson Mississippi Department of Orthopaedics Naval Hospital, Portsmouth, VA
关键词
SPONDYLOLISTHESIS; ARTHRODESIS; INTERNAL FIXATION;
D O I
10.1097/00007632-199309000-00015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A prospective randomized study was designed to examine differences in the primary fusion rate between two surgically treated groups of patients with spondylolisthesis. Twenty-seven patients underwent L5 laminectomy (Gill procedure) and L5 nerve root decompression. Fourteen patients (group I) underwent in-situ posterolateral fusion, thirteen patients (group II) received internal stabilization with the Steffee plate and screw system. All patients were followed for a minimum of two years. Ten of fourteen (72%) patients treated with non-instrumented fusion went on to union. Ten of thirteen (78%) patients treated with internal fixation achieved union. No statistically significant increase in the primary fusion rate occurred with addition of internal fixation compared to non-instrumented posterolateral grafting alone.
引用
收藏
页码:1662 / 1672
页数:11
相关论文
共 12 条
  • [1] Amuso S.J., Neff R.S., Coulson D.B., Laing R.G., The surgical treatment of spondylolisthesis by posterior element resection, J Bone Joint Surg, 52A, (1970)
  • [2] Boxall D., Bradford D., Winter R., Moe J., Management of severe spondylolisthesis in children and adolesents, J Bone Joint Surg, 61A, pp. 479-495, (1979)
  • [3] Brown C.W., Orme T.J., Richardson H.D., The rate of pseudarthrosis in patients who are smokers and patients who are non- smokers: A comparison study, Spine, 11, pp. 942-943, (1986)
  • [4] Davis I.S., Bailey R.W., Spondylolisthesis, long-term follow-up study of treatment with total laminectomy, Clin Orthop, 88, (1972)
  • [5] Gill G.G., Manning J.G., White H.L., Surgical treatment of spondylolisthesis treated by arthrodesis, Am J Sports Med, 163, (1957)
  • [6] Hensinger R.N., Lang J.R., Macewen G.D., Surgical management of spondylolisthesis in children and adolescents, Spine, 1, (1976)
  • [7] Lehmann T.R., Larocca H., Repeat lumbar surgery: A review of patients with failure from previous lumbar surgery treated with spinal canal exploration and lumbar spine fusion, Spine, 6, pp. 615-619, (1981)
  • [8] McAfee P.C., Farey I., Sutterlin C.E., Gurr K.R., Warden K.E., Cunningham B.W., Devicerelated osteoporosis with spinal instrumentation, Spine, 14, pp. 919-926, (1989)
  • [9] Osterman K., Lindholm T.S., Laurent L.E., Late results of removal of the loose posterior element in treatment of lytic lumbar spondylolisthesis, Clin Orthop, 117, pp. 121-128, (1976)
  • [10] Stauffer R.N., Coventry M.B., Posterolateral lumbar-spine fusion, J Bone Joint Surg, 54A, pp. 1195-1204, (1972)