2024-03-29T11:12:32Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00023258
2022-12-15T03:54:08Z
453:456
471:537:538:1216
Follow-up Study of Posterior Fusion of lumbar Spondylo-lysis and-listhesis : with Special reference to the Postoperative change of Subjective complaint & X-ray findings
腰椎分離症および分離すべり症に対する腰椎後方固定術の遠隔成績 : とくに臨床的およびX 線学的検討
腰椎分離症および分離すべり症に対する腰椎後方固定術の遠隔成績 : とくに臨床的およびX 線学的検討
中村, 滋
140246
posterior lumbar fusion
Spondylolysis
Spondylolisthesis
腰推後方固定
脊椎分離症
脊椎分離辷り症
One hundred cases of painful lumbar spondylo-lysis and mild listhesis in which posterior fusion proposed by prof. Kono was performed more than five years ago were followed up by direct examination of the patients, which led to the following conclusions. Excellent clinical result was attained in 86% of the patients, in which solid union was formed in 54%. Although cases with solid union of grafted bone tended to show excellent result, 78% of the cases with partial or non-union showed disappearance or improvement of subjective complaints probably due to some limitation of motion by the operative procedure. Solidly fused lumbar portion still reveals average 5.8° ROM due to elasticity of disc and grafted bone. Disc degeneration does not progress in the fused lumbar area, but it appears in the disc just above and below the fused spines especially in the disc between the L5 and S1. Posterior fusion of mild listhesis (Meyerding's grade 1 and 2) never caused canal stenosis, although progressive disc degeneration could not be prevented. Based on the results obtaibned by this follow up, the author thinks that this type of posterior fusion is still indicated in painful lumbar spondylo-lysis and mild-listhesis.
departmental bulletin paper
新潟医学会
1988-11
application/pdf
新潟医学会雑誌
11
102
693
705
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/23258/files/102(11)_693-705.pdf
jpn