Methods The technique of regrafted laminae and transpedicular screw system integrated fixation was performed to treat lumbar spondylolisthesis associated neurological injury in 53 patients, including 4 cases of L_ 3~4 spondylolisthesis,29 cases of L_ 4~5 spondylolisthesis, 20 cases of L_5~S_1 spondylolisthesis,37 cases of degenerative spondylolisthesis,16 cases of spondylolisthesis with single lumbar segment spondylolysis.
Methods:The MR images in 5 cases of simple spondylolysis, 24 cases of spondylolytic spondylolisthesis and 25 cases of degenerative spondylolisthesis (confirmed by conventional radiography or CT) were retrospectively analyzed.
RESULTS:The reduction was satisfactory in thoracolumbar fractures and lumbar spondylolithesis, but malreduction was found in 3 cases of degenerative spondylolisthesis and 1 case of cracked spondylolithesis was with the complete reduction.
Methods The 96 patients who had undergone lumbar interbody fusion with threaded fusion cages from July 1997 to November 2004,were reviewed. There were 15 cases of spondylolysis,78 isthmic spondylolisthesis and 3 degenerative spondylolisthesis. 62 cases in the series were of grade Ⅰ and 19 cases were of grade Ⅱ,according to Meyerding classification.
This dissertation reviews the current situation of TCM and Western medicine about Degenerative Spondylolisthesis in recent years, evaluates objectively the foundation and clinical study progress of Chinese and Western medicine about this disease, explain the cause of disease, pathology of Degenerative Spondylolisthesis,in detail, offer scientific basis about the treatment of Degenerative Spondylolisthesis.
Dissertation summarize clinical Midwest is it treat foundation of experience to cure in Degenerative Spondylolisthesis of studying, select 46 indices concerned with pathogenesis to establish the standards for bringing into research objects, Adopt and divided into groups and contrast the clinical cueative effect which probes into this comprehensive treatment method of conservative treatment and surgical treatment at random, the follow-up period ranged from 1 to 2 years.
The indications for surgery were: degenerative disc disease, degenerative spondylolisthesis and nonunion following previous posterolateral fusion of lumbar spine segments.
This study demonstrated that spinal decompression followed by transpedicular instrumentation associated with PLIF technique is a valid surgical option for the treatment of degenerative spondylolisthesis with symptomatic spinal stenosis.
Degenerative spondylolisthesis is characterized by the slippage of one vertebral body over the one below, with association of intervertebral disc degeneration and degenerative arthritis of the facet joints, which cause spinal stenosis.
Our findings indicate that the technique for decompressing the spinal canal with preservation of the posterior elements of its roof can be useful for treating patients with grade I degenerative spondylolisthesis with symptoms of spinal stenosis.
The management of grade I lumbar degenerative spondylolisthesis remains controversial.