[Postero-lateral arthrodeses in spondylolisthesis and lumbosacral disk arthroses. Study of 11 cases with follow-ups exceeding 5 years].
The retrospective study of 111 patients having undergone a postero-lateral arthrodesis for lumbar disc degeneration or spondylolisthesis has enabled to evaluate functional results according to the clinical criteria of Stauffer and Coventry with a mean follow-up of 9.5 years, and to examine among clinical and socio-professional elements, X-rays data and technical conditions of the graft, those which seem to influence in a statistically significant fashion the quality of the results. The long term result was estimated satisfactory (very good and average) for 70% of spondylolisthesis, and stable in time; 3/4 of the patients resumed work, after rehabilitation 2 out of 3 times. Concerning disk arthroses, we have observed 50% of satisfactory results, with degradation of average results one year after surgery occurring 4 out of 10 times, most often more than 5 years after the graft; 58% of the patients resumed work, half of them after rehabilitation. 25 complications were noted and they all evolved favorably. Among factors capable of influencing the quality of the result, no statistically significant influence was found concerning the pre-operative site of the pain, the possible past history of spine surgery, a pre-operative risk profession for the spine, a pre-operative inter-apophyseal arthrosis, the number of levels grafted and a possible associated discal curettage.(ABSTRACT TRUNCATED AT 250 WORDS)
Valat
J P
JP
Service de Rhumatologie, CHU Hôpital Trousseau, Tours.
Eveleigh
M C
MC
Perrot
Y
Y
Fouquet
B
B
Burdin
P
P
Castaing
J
J
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery*; D008159:Lumbar Vertebrae; D011379:Prognosis; D012189:Retrospective Studies; D012447:Sacrum; D013122:Spinal Diseases / Q000601:surgery; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods; D013168:Spondylolisthesis / Q000601:surgery*
Arthrodèses postéro-latérales dans les spondylolisthésis et les discarthroses lombo-sacrées. Etude de 111 cas avec recul supérieur à 5 ans.