摘要
通过对１９例脊椎滑脱症患者的屈曲－过伸的Ｘ线动态观察，显示出节段性不稳征象．此观察结果提示患者的临床症状程度与其最大滑移无平行关系，而与节段性不稳的滑移范围密切相关，这表明节段性不稳在此病发病机理中有重要意义．病段的异常活动和滑移可导致神经根受压和牵拉，引起下肢的根性症状和跛行．其手术指征取决于临床症状严重程度．
In19patientswithspondylolisthesis,withthedynamicconventionalflexion-extensionradiography,atranslatoryanteroposteriormovementwasseenindicationsegmentalinstability.Clinicalanalysisofthesecasesrevealedthat,theseverityoflow-backpainsymptomscorrelatedsignificantlywiththeamountofinstability,althoughitdidnotshowandparalelcorrelationwiththedegreeofmaxi-maldisplacement.Apparentlysegmentalinstabilityhasanimportantimplicationinthepathogenesisofspondylolisthesis.Thecombinationofexcessivemotionandtranslationmayresultincompressionortractionimpulesonthespinalnerverootswiththemanifestationofradicularpainorclaudicationoverthelowerextremity.Althoughnonoperativemeasuresmaybesuccessfulincontrolingsymptomsinsomecases,surgicaltreatmentisindicatedwhenthediseaseremainsfunctionalyincapacitating.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1996年第7期412-414,共3页
Chinese Journal of Orthopaedics
