急性创伤性腰椎滑脱

Acute traumatic spondylolisthesis

目的探讨急性创伤性腰椎滑脱(acutetraumaticspondylolisthesis,ATS)的临床特点。方法1999年5月～2002年1月诊治7例急性创伤性腰椎滑脱患者:1例症状轻者行保守治疗,其余6例滑脱者均行切开复位内固定植骨术。结果7例获1～11年,平均5年2个月随访。临床疗效按Henderson标准评价:优6例,良1例。结论与峡部崩裂滑脱相比,ATS伴软组织损伤与峡部骨折或小关节突骨折,绝大多数需手术治疗。

Objective To discuss the clinical characteristics of the Acu te Traumatic Spondylolisthesis (ATS). Methods 7 cases of ATS treated from 1990 t o 2002 were analyzed retrospectively. One case with slight symptoms was treated without operation and others were treated with open reduction and internal fixat ion of the graft. The ages of the patients ranged from 13 to 57 years, with an a verage of 26.9 years. Results All patients were followed up for an average of 5 .2 years. By Henderson standard, the result was excellent in 6, and good in 1. C onclusions Compared with non-acute traumatic spondylolisthesis,ATS involves de finite trauma accompanied with soft tissue lesion and small articular fractures. There is no sclerosis manifestation in x-ray and CT. Isthmic fractures can alw ays be seen during operation. Operation is needed in most cases.