Prospective study of surgical treatment of degenerative spondylolisthesis : Comparison between decompression alone and decompression with Graf system stabilization

作者: Shinichi Konno , Shinichi Kikuchi

DOI: 10.1097/00007632-200006150-00012

关键词: Prospective cohort studySurgeryMedicineDecompressionSpinal stenosisLumbarLow back painVisual analogue scaleSpondylolisthesisOrthopedic surgery

摘要: Study Design. A prospective study of patients with degenerative spondylolisthesis who underwent decompression the spine, and without stabilization using Graf system. Objectives. To assess clinical result alone Summary Background Data. The outcome lumbar for remains uncertain. There is no differences in between undergo those Methods. Eighty-eight were included this study. All reported leg symptoms. Decompression (Group D) was performed 42 during a 5-year period from 1988 through 1992. system G) 46 4-year 1993 1996. statistical difference regarding sex, age at operation, compensable cases, preoperative duration two groups. groups evaluated follow-up examinations 1 3 years after surgery. results all by means 4-grade scale, visual analog recurrence symptoms, persistent low back pain. radiographic findings examined an independent investigator. Results. according to scale deteriorated time both or symptoms each time. Persistent pain Group G significantly lower than that D 1- 3-year follow-ups. Conclusions. Although had effect preventing there significant on reduction

参考文章(19)
IAN MACNAB, Negative Disc Exploration: AN ANALYSIS OF THE CAUSES OF NERVE-ROOT INVOLVEMENT IN SIXTY-EIGHT PATIENTS Journal of Bone and Joint Surgery, American Volume. ,vol. 53, pp. 891- 903 ,(1971) , 10.2106/00004623-197153050-00004
JOSEPH S. LOMBARDI, LEON L. WILTSE, JAMES REYNOLDS, ERIC H. WIDELL, CURTIS SPENCER, Treatment of degenerative spondylolisthesis. Spine. ,vol. 10, pp. 821- 827 ,(1985) , 10.1097/00007632-198511000-00008
ARTHUR D. STEFFEE, ROBERT S. BISCUP, DANIEL J. SITKOWSKJ, Segmental spine plates with pedicle screw fixation. A new internal fixation device for disorders of the lumbar and thoracolumbar spine. Clinical Orthopaedics and Related Research. ,vol. 203, pp. 45- 53 ,(1986) , 10.1097/00003086-198602000-00006
Leena I. Kauppila, Stephen Eustace, Douglas P. Kiel, David T. Felson, Alexander M. Wright, Degenerative displacement of lumbar vertebrae. A 25-year follow-up study in Framingham. Spine. ,vol. 23, pp. 1868- 1873 ,(1998) , 10.1097/00007632-199809010-00014
Stephen I. Esses, Barton L. Sachs, Vadim Dreyzin, Complications associated with the technique of pedicle screw fixation. A selected survey of ABS members. Spine. ,vol. 18, pp. 2231- 2239 ,(1993) , 10.1097/00007632-199311000-00015
Bo J�nsson, Michael �kesson, Kjell Jonsson, Bj�rn Str�mqvist, Low risk for vertebral slipping after decompression with facet joint preserving technique for lumbar spinal stenosis. European Spine Journal. ,vol. 1, pp. 100- 104 ,(1992) , 10.1007/BF00300935
JAMES N. WEINSTEIN, KEVIN F. SPRATT, DAN SPENGLER, CRAIG BRICK, STANLEY REID, Spinal pedicle fixation: reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement Spine. ,vol. 13, pp. 1012- 1018 ,(1988) , 10.1097/00007632-198809000-00008