척추전방전위증의 수술적 치료의 비교 분석 = Comparative Analysis in Surgical Treatment of Spondylolisthesis

다국어 초록 (Multilingual Abstract)

Most cases of spondylolisthesis were successfully managed with surgery in cases having severe back pain or neurologic symptoms. Several methods of surgery applied to this disease from simple decompression to anterior, posterior, and posterolateral fusion. But nowadays, the trends are changed to fusion with instrumentation.
We reviewed 78 cases of spondylolisthesis, who were surgically treated, at Kosin Medical Center from Jun. 1979 to Jan. 1990.
And we analyzed the result of surgery, which were divided into two groups, instrumented and non-instrumented.
The results are as follows 1. Clinically, the results were judged as satisfactory in 84.4% of instrumented group, and in 55.6% of non-instrumented group.
Thus instrumented group was superior to non-instrumented group.
2. In non-instrumented group, the results of anterior fusion were most satisfactory as 62.5%, and the results of posterior fusion by H-graft were poor in all cases.
3. In instrumented group, the results of C. D. rod were most satisfactory as 96.4%.
And in C. D. rod, best improvement was achieved in radiological examination.
4. Among all, C. D. rod was better than other types of surgical method, in viewpoint of normalization of lumbosacral alignment and decrease of back stiffness by short segment fixation.