[Surgical treatment of unstable, therapy-resistant and painful lumbosacral joints by distracting decompressive posterolateral spondylodesis over the divided sacral bar according to Zielke's method (author's transl)].
Here the procedure of the distracting decompressive fusion over the divided sacral bar which Zielke developed 8 years ago is being described. This procedure was applied in over 150 cases. In a follow-up only one pseudarthrosis was found in the area of L5/S1. 70% of the previously pensioned patients could at least be partially rehabilitated. 32 patients were asked of their opinion with a questionnaire. Only 2 patients (6%) assessed the operation results with "bad". Indication is in all instabilities of the lumbosacral joint. The problem of the multi-operated back can be largely solved through the possibilities of this procedure.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D006801:Humans; D007738:Kyphosis / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000601:surgery; D010007:Osteochondritis / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D011542:Pseudarthrosis / Q000601:surgery; D011859:Radiography; D012447:Sacrum / Q000000981:diagnostic imaging / Q000601:surgery*; D012600:Scoliosis / Q000601:surgery; D013126:Spinal Nerve Roots / Q000601:surgery; D013166:Spondylitis / Q000000981:diagnostic imaging / Q000601:surgery*; D013168:Spondylolisthesis / Q000601:surgery
Zur operativen Behandlung des instabilen, therapieresistent schmerzhaften lumbosakralen Scharniers durch distrahierend- dekomprimeierende, posterolaterale Spondylodese über den geteilten Sakralstabaufbau nach Zielke.