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Posterior pedicular screw instrumentation and anterior interbody fusion in adult lumbar spondylolysis or grade I spondylolisthesis with segmental instability

Title
Posterior pedicular screw instrumentation and anterior interbody fusion in adult lumbar spondylolysis or grade I spondylolisthesis with segmental instability
Authors
Wang J.-M.Kim D.-J.Yun Y.-H.
Ewha Authors
왕진만윤여헌김동준
SCOPUS Author ID
왕진만scopus; 윤여헌scopus; 김동준scopus
Issue Date
1996
Journal Title
Journal of Spinal Disorders
ISSN
0895-0385JCR Link
Citation
Journal of Spinal Disorders vol. 9, no. 2, pp. 83 - 88
Indexed
SCOPUS scopus
Document Type
Article
Abstract
Between 1988 and 1993, we treated 21 adults with symptomatic lumbar spondylolysis by a combined surgery of posterior stabilization and anterior interbody fusion. Our indication for this combined surgery was persistent pain that was unresponsive to conservative measures and segmental instability on flexion-extension roentgenogram. The patients' mean age at the time of surgery was 34 years (range 24-42 years). All patients showed degenerated disks on preoperative magnetic resonance imaging. The mean follow-up period was 30.4 months. The clinical result was excellent or good in 95%, and the radiographic fusion was successful in 95%. Prolonged pain at the donor site was the most common complication, which usually disappeared by 3 months after the operation. We recommend the combined surgery of posterior instrumentation and anterior fusion to stabilize symptomatic adult lumbar spondylolysis.
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의과대학 > 의학과 > Journal papers
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