Posterior pedicle screw reduction and fixation, decompressive laminectomy and massive autogenous bone grafting for treatment of lumbar spondylolisthesis
10.3760/cma.j.issn.1001-8050.2013.08.023
- VernacularTitle:后路椎弓根钉复位固定加自体减压椎板骨粒超大量植骨治疗腰椎滑脱
- Author:
Peng CHEN
;
Guoxing ZHU
;
Yusheng YANG
;
Gang CHEN
;
Lei SHI
- Publication Type:Journal Article
- Keywords:
Spinal injuries;
Spondylolysis;
Decompression,surgical;
Bone transplantation
- From:
Chinese Journal of Trauma
2013;29(8):753-755
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of posterior pedicle screw reduction and fixation,decompressive laminectomy and massive autogenous bone grafting using bone particles harvested from resected vertebral body in treatment of lumbar spondylolisthesis.Methods Fifty-six cases of lumbar spondylolisthesis treated from June 2005 and June 2006 were reviewed retrospectively.According to Meyerding classification,35 cases were classified as grade Ⅰslippage and 21 cases as grade Ⅱ slippage.There were 19 spondylolisthesis at L4/5 and 37 at L5-S1.After posterior pedicle screw reduction and fixation,decompressive laminectomy and massive autologous bone grafting using particles of resected vertebral body,surgical outcome was analyzed.Results All cases achieved bone fusion without evidence of nail breakage or nerve injury.According to Macrab criteria,the results were excellent in 53 cases and good in three.Moreover,both the full reduction rate and interbody fusion rate were 100％.Conclusion Posterior pedicle screw reduction and fixation,decompressive laminectomy plus massive autogenous bone grafting is one of the ideal treatments for lumbar spondylolisthesis,for it achieves satisfactory fixation,decompression,reduction and fusion.
