| Effect of internal fixation and other methods alleviating low back pain caused by isthmic spondylolisthesis |
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| 作者姓名： | 袁岱军 靳安民 吴广森 |
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| 作者单位： | DepartmentofSpinalSurgery,ZhujiangHospital,FirstMilitaryMedicalUniversity,Guangzhou510282,GuangdongProvince,China |
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| 摘 要： | AIM:To explore the long-term therapeutic effects of surgical treatment for isthmic spondylolisthesis.METHODS:42 cases of isthmic spondylolisthesis were analyzed retrospectively among which 13 cases underwent simple lumbar interlaminar bone implant and 29 cases underwent transpedicular fixation combined with bone implantation.Assessment was made according to JOA standards before and after treatment.RESULTS:At a 3 years of follow-up assessment,the functional outcome in transpedicular fixation assessed by JOA was excellent and good in 79.3% as compared with the group without fixation in which the excellent and good result was 76.9%.The level of pain and functional disability were similar in the two groups,but fusion rate in the group with transpedicular fixation was higher than that in group without it.CONCLUSION:Surgical treatment for isthmic spondylolisthesis imprves function and relieves pain.
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| 关 键 词： | 内固定 腰椎峡部不连 滑脱 腰痛 治疗 |
Effect of internal fixation and other methods alleviating low back pain caused by isthmic spondylolisthesis |
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| Institution: | DepartmentofSpinalSurgery,ZhujiangHospital,FirstMilitaryMedicalUniversity,Guangzhou510282,GuangdongProvince,China |
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| Abstract: | AIM:To explore the long-term therapeutic effects of surgical treatment for isthmic spondylolisthesis.METHODS:42 cases of isthmic spondylolisthesis were analyzed retrospectively among which 13 cases underwent simple lumbar interlaminar bone implant and 29 cases underwent transpedicular fixation combined with bone implantation.Assessment was made according to JOA standards before and after treatment.RESULTS:At a 3 years of follow-up assessment,the functional outcome in transpedicular fixation assessed by JOA was excellent and good in 79.3% as compared with the group without fixation in which the excellent and good result was 76.9%.The level of pain and functional disability were similar in the two groups,but fusion rate in the group with transpedicular fixation was higher than that in group without it.CONCLUSION:Surgical treatment for isthmic spondylolisthesis imprves function and relieves pain. |
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