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Titolo:
Anterior interbody fusion versus posterolateral fusion with transpedicularfixation for isthmic spondylolisthesis in adults - A comparison of clinical results
Autore:
Kim, NH; Lee, JW;
Indirizzi:
Yonseiouthv, Coll Med, Severance Hosp, Dept Orthopaed Surg, Seoul 120752, S Yonsei Univ Seoul South Korea 120752 ept Orthopaed Surg, Seoul 120752, S
Titolo Testata:
SPINE
fascicolo: 8, volume: 24, anno: 1999,
pagine: 812 - 816
SICI:
0362-2436(19990415)24:8<812:AIFVPF>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADOLESCENTS; SERIES;
Keywords:
anterior interbody fusion; isthmic spondylolisthesis; posterolateral fusion; transpedicular fixation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Kim, NH Yonseieoulv, Coll Med, Severance Hosp, Dept Orthopaed Surg, CPO Box 8044, S Yonsei Univ CPO Box 8044 Seoul South Korea 120752 CPO Box 8044, S
Citazione:
N.H. Kim e J.W. Lee, "Anterior interbody fusion versus posterolateral fusion with transpedicularfixation for isthmic spondylolisthesis in adults - A comparison of clinical results", SPINE, 24(8), 1999, pp. 812-816

Abstract

Study Design. Clinical and radiographic results were assessed in adult patients who had undergone operation for isthmic spondylolisthesis. Objectives. To compare the results between anterior interbody fusion and posterolateral fusion with those of transpedicular fixation for the treatment of isthmic spondylolisthesis in adults. Background Data. Successful clinical results after fusion can be expected in adolescents, but, the adult type differs in that stability through fusion alone fails to ensure satisfactory outcomes. The role of decompression inthe surgical treatment of adult isthmic spondylolisthesis remains controversial. Anterior interbody fusion has an indirect effect of nerve root decompression through widening of the intervertebral space, whereas posterolateral fusion with transpedicular fixation provides direct decompression. Methods. The clinical data of 40 adult patients who had undergone operations for isthmic spondylolisthesis from June 1977 through June 1994 were reviewed. Anterior interbody fusion was performed in 20 patients (Group I) and posterolateral fusion with transpedicular fixation in 20 patients (Group II). The mean age of Group I was 44.1 years (range, 21-62 years), and that ofGroup II was 41.3 years (range, 21-57 years). Group I contained 8 men and 12 women, Group II contained 5 men and 15 women. The symptoms and signs in Groups I and II were similar. The duration of follow-up averaged 3.6 years (range, 1.1-16 years) in Group I and 2.3 years (range, 1.1-6 years) in Group II. Results. The anterior slippage in Group I, assessed by the Taillard method, was 16.1% and was corrected to 10.4% after surgery. Anterior slippage in Group II was 15.2% and was corrected to 9.8% after surgery. The fusion rate12 months after surgery was 90% in Group I and 95% in Group II. The clinical results were analyzed by Kim's criteria, according to variables on the improvement of clinical symptoms. Satisfactory results were obtained in 85% of Group I and 90% of Group II. Conclusions. There was no statistically significant difference in clinicalresults between anterior interbody fusion and posterolateral fusion with transpedicular fixation for the treatment of isthmic spondylolisthesis in adults (P < 0.05).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/08/20 alle ore 15:50:29