Analysis of factors related to prognosis and curative effect for posterolateral fusion of lumbar low-grade isthmic spondylolisthesis

被引：15

作者：

Feng Ming-li ^{[1
]}

Shen Hui-liang ^{[1
]}

Yong Yi-min ^{[1
]}

Hu Huai-jian ^{[1
]}

Zhang Qing-ming ^{[1
]}

Cao-Li ^{[1
]}

机构：

[1] Capital Med Univ, Dept Orthopaed, Xuanwu Hosp, Beijing 100053, Peoples R China

来源：

INTERNATIONAL ORTHOPAEDICS | 2009年 / 33卷 / 05期

关键词：

ANTERIOR INTERBODY FUSION; LONG-TERM; DEGENERATIVE SPONDYLOLISTHESIS; TRANSPEDICULAR FIXATION; POSTERIOR; INSTRUMENTATION; ADOLESCENCE; REDUCTION; STENOSIS;

D O I：

10.1007/s00264-008-0627-7

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：

The objective of this study was to select factors related to the prognosis and curative effect for posterolateral fusion (PLF) of lumbar low-grade isthmic spondylolisthesis (LGIS). Of 125 patients who accepted PLF treatment, 119 obtained solid union in this prospective study. Statistical analysis was used to evaluate factors related to the prognosis and curative effect. Spondylolisthetic position (L4, L5), gender and postoperative percent disc height were not significant factors for the prognosis and curative effect. Length of disease history (LDH), preoperative Japanese Orthopaedic Association (JOA) score and postoperative percentage of slipping (% slip) were significantly related to postoperative JOA score and postoperative improved JOA score. LDH and postoperative % slip were significantly related to postoperative recovery rate. LDH, preoperative JOA score and postoperative % slip were independent related factors for the prognosis and improvement of LGIS. LDH and postoperative % slip were independent related factors for the curative effect. However, age, gender, spondylolisthetic position and postoperative percent disc height were not significant factors.

引用

页码：1335 / 1340

页数：6

共 25 条

[1]

Benli I. Teoman, 2006, Kobe Journal of Medical Sciences, V52, P151

[2] THE ROLE OF FUSION AND INSTRUMENTATION IN THE TREATMENT OF DEGENERATIVE SPONDYLOLISTHESIS WITH SPINAL STENOSIS [J].

BRIDWELL, KH ;

SEDGEWICK, TA ;

OBRIEN, MF ;

LENKE, LG ;

BALDUS, C .

JOURNAL OF SPINAL DISORDERS, 1993, 6 (06) :461-472

[3]

BUTT MF, 2007, INT ORTHOP 0511

[4]

Dehoux Emile, 2004, Acta Orthop Belg, V70, P578

[5]

Ekman Per, 2005, Spine J, V5, P36, DOI 10.1016/j.spinee.2004.05.249

[6] The argument for instrumented decompressive posterolateral fusion for patients with degenerative spondylolisthesis and spinal stenosis [J].

Fischgrund, JS .

SPINE, 2004, 29 (02) :173-174

[7] LUMBAR FORAMINAL STENOSIS - CRITICAL HEIGHTS OF THE INTERVERTEBRAL DISKS AND FORAMINA - A CRYOMICROTOME STUDY IN CADAVERA [J].

HASEGAWA, T ;

AN, HS ;

HAUGHTON, VM ;

NOWICKI, BH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1995, 77A (01) :32-38

[8]

Inamdar D N, 2006, J Orthop Surg (Hong Kong), V14, P21

[9]

Iwamoto Jun, 2002, J Orthop Sci, V7, P84, DOI 10.1007/s776-002-8426-9

[10] Fusion for low-grade adult isthmic spondylolisthesis: a systematic review of the literature [J].

Jacobs, WCH ;

Vreeling, A ;

De Kleuver, M .

EUROPEAN SPINE JOURNAL, 2006, 15 (04) :391-402

← 1 2 3 →