[Treatment of spondylolisthesis in adults using the dorsal approach with the fixateur interne and a special repositioning device].
Fourteen patients with spondylolisthesis were operated in the Orthopaedic Clinic of Ulm (RKU) from October 1984 to December 1986. All patients suffered from low back pain, 13 had symptomes of nerve root compression, 6 had intermittent spinal claudication. All patients were treated by segmental distraction, reduction of the slipped vertebra and a ventral interbody fusion. The operative technique required first the dorsal approach for distraction and reduction using the fixateur interne (Dick) as well as a self developed special instrument for the reduction of the vertebra (repositeur). The ventral interbody fusion was performed in a one-stage procedure. The self developed special instrument (repositeur) is described and its construction principals, mechanics and its applications. Distraction and reduction of spondylolisthesis was achieved totally or nearly complete with this instrument in all but one patient. In one case the transpedicular screw ripped out. Always the foramina intervertebralia were opened to physiological width. Pain and neurological symptomes completely disappeared in all patients and no additional spinal operation was necessary. No infection and no pseudarthrosis did occur. Our clinical results are discussed in regard to other publications. Operative treatment of spondylolisthesis using the fixateur interne and a new developed special instrument for reduction.
Noack
W
W
Orthopädische Klinik und Querschnittgelähmtenzentrum im RKU, Forschungs- und Lehrbereich der Universität Ulm.
Raetzel
G
G
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D013123:Spinal Fusion / Q000295:instrumentation*; D013168:Spondylolisthesis / Q000601:surgery*; D013525:Surgical Instruments
Die Behandlung der Spondylosisthesis beim Erwachsenen von dorsal mit dem Fixateur interne und einem speziellen Repositionshilfsgerät.