Stability of lumbar vertebrae with lumbar spondylolisthesis after lumbar fusion and implant internal fixation
10.3969/j.issn.2095-4344.2013.35.019
- VernacularTitle:腰椎融合及植入物内固定后滑脱腰椎的椎体稳定性
- Author:
Yuqi ZHU
;
Jinrong WANG
- Publication Type:Journal Article
- Keywords:
bone and joint implants;
academic discussion of bone and joint;
lumbar spondylolisthesis;
vertebral stability;
lumbar lordosis;
intervertebral height;
implant fixation;
lumbar fusion
- From:
Chinese Journal of Tissue Engineering Research
2013;(35):6339-6344
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:The purpose of the treatment of lumbar spondylolisthesis is to reconstruct the spine sequence and vertebral stability, relieve nerve compression, and achieve permanent lumbar fusion.
OBJECTIVE:To explore the restore of vertebral stability of the lumbar spondylolisthesis patients after lumbar fusion and implant internal fixation.
METHODS:The lumbar spondylolisthesis was often divided into dysplastic, isthmic, degenerative, traumatic and pathological with Wiltse classification. The slip degree of upper vertebra relative to lower vertebra on the lumbar X-ray film was divided into five grades, and then the appropriate treatment method was selected according to the classification, grading and specific circumstances of the lumbar spondylolisthesis patients.
RESUTLS AND CONCLUSION:The strong fusion and internal fixation and the rigid connection between
implants and vertebra are often used to stabilize the spine and correct deformities with high bone fusion rate, thus reducing pseudoarticulation formation. Dynamic fusion and internal fixation can distribute the load conduction of rigid internal fixation with elastic material or micro-devices, thus reducing stress shielding and adjacent segment stress concentration. Dynamic non-fusion and internal fixation can change the load transfer mode of spinal
motion segment, inhibit spinal movement and prevent adjacent segment degeneration, in order to make the instable lumbar spine reach its normal activity characteristics, and achieve dynamic reconstruction of lumbar sequence. Lumbar isthmus defects directly repaired with graft is suitable for the young adult with the
symptoms of lumbar spondylolisthesis and without degenerative disc disease. There is no consistent option on which materials and position is suitable for graft in the lumbar spondylolisthesis patients, as wel as which methods for fusion and implant internal fixation can achieve ideal effect.
