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Titolo:
Comparison between posterolateral fusion with pedicle screw fixation and anterior interbody fusion with pedicle screw fixation in adult spondylolyticspondylolisthesis
Autore:
Suk, KS; Jeon, CH; Park, MS; Moon, SH; Kim, NH; Lee, HM;
Indirizzi:
Yonsei Univ, Coll Med, Dept Orthopaed Surg, Seoul 120752, South Korea Yonsei Univ Seoul South Korea 120752 aed Surg, Seoul 120752, South Korea Kyung Hee Univ, Coll Med, Dept Orthopaed Surg, Seoul, South Korea Kyung Hee Univ Seoul South Korea ept Orthopaed Surg, Seoul, South Korea Ajou Univ, Sch Med, Dept Orthopaed Surg, Suwon 441749, South Korea Ajou Univ Suwon South Korea 441749 opaed Surg, Suwon 441749, South Korea Konyang Univ, Dept Orthopaed Surg, Taejon, South Korea Konyang Univ Taejon South Korea ept Orthopaed Surg, Taejon, South Korea
Titolo Testata:
YONSEI MEDICAL JOURNAL
fascicolo: 3, volume: 42, anno: 2001,
pagine: 316 - 323
SICI:
0513-5796(200106)42:3<316:CBPFWP>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
ISTHMIC SPONDYLOLISTHESIS; TRANSPEDICULAR FIXATION; LUMBAR FUSION; SURGICAL-MANAGEMENT; INSTRUMENTATION; REDUCTION; DECOMPRESSION; ADOLESCENTS; CHILDREN;
Keywords:
anterior interbody fusion; lumbar spine; pedicle screw fixation; posterolateral fusion; spondylolytic spondylolisthesis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Lee, HM Yonsei Univ, Coll Med, Dept Orthopaed Surg, CPO Box 8044, Seoul 120752, South Korea Yonsei Univ CPO Box 8044 Seoul South Korea 120752 52, South Korea
Citazione:
K.S. Suk et al., "Comparison between posterolateral fusion with pedicle screw fixation and anterior interbody fusion with pedicle screw fixation in adult spondylolyticspondylolisthesis", YONSEI MED, 42(3), 2001, pp. 316-323

Abstract

There have been many reports regarding various operative methods for spondylolytic spondylolisthesis. However, there have been no reports regarding the comparison between posterolateral fusion (PLF) with pedicle screw fixation (PSF) and anterior lumbar interbody fusion (ALIF) with PSF. The purpose of the current study was to compare the clinical outcomes of PLF with PSF and ALIF with PSF, and to help in the selection of treatment options. Fifty-six patients with spondylolytic spondylolisthesis who underwent PLF with PSF (group 1, 35 patients) or who underwent ALIF with PSF (group 2, 21 patients) were studied. Minimum follow-up was 2 years. Demographic variables and disease state were similar for the two groups. We studied operating time, amount of blood loss, duration of hospital stay, clinical outcomes, complications, time at which fusion was complete, fusion rate, and radiological measurements. There were no significant differences between the two groups in terms of the amount of blood loss, duration of hospital stay, back pain radiating pain, fusion rate, or complication rate. However, in group 2, the operation time and the time at which fusion became complete was longer, and in group I there was significant radiological reduction loss. In conclusion,PLF with PSF was just as effective as ALIF with PSF in terms of clinical outcomes, but ALIF with PSF was superior to PLF with PSF in terms of the prevention of reduction loss. Anterior support would be helpful for preventingreduction loss in cases of spondylolytic spondylolisthesis of the lumbar spine.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/06/20 alle ore 23:46:03