The Curative Effects And Healing Strategies Of Adult Lumbar Spondylolysis And Spondylolisthesis

OBJECTIVE: There are many therapeutic treatments to adult lumbar spondylolysis and spondylolisthesis, but the choices are disputed. Review 82 adult lumbar spondylolysis and spondylolisthesis patients to approach the therapeutic efficacies of the direct fixation of the pars interarticularis and the one spinal function unit fixation, according to the pathologic procedures a operation strategy and a clinical stage are made,which can be a reference to the operative treatments.METHODS: 82 adult lumbar spondylolysis and spondylolisthesis patients were cured with expectant treatments and 2 operative treatments and followed up from 6 to 153 months with an average of 70.7 months. The radiographies were measured, including slipping percentage, disc index, fusion rate. The clinical efficanies were evaluated by JOA Scoring System. All the dataes are analyzed with SPSS software. RESULTS: The slipping percentages, disc indexes, JOA scores were all improved significantly. The statistical significances are predominant. The correlate analysises yield: there are dependablities between ages and slipping percentages, the slipping percentages increase according to the the increases of ages; there are dependablities between slipping percentages and disc indexes, the disc indexes decrease according to the increases of the slipping percentages; there are no dependablities between vertebral body indexes and slipping percentages; there are no dependablities between vertebral body indexes and ages. The fusion rates are 100%. No pedicle screws are found broken down. CONCLUSIONS: The good therapeutic efficacies are got with the direct fixation of the pars interarticularis and the one spinal function unit fixation. We consider that lumbar spondylolysis and spondylolisthesis is a pathologic procedure which is gradually...