[Surgical treatment of spondylolisthesis in Gabon].

Autor: Iba Ba J; Service de Neurochirurgie, Fondation Jeanne-Ebori, BP 212, Libreville, Gabon. ibabajose@yahoo.fr, Mwanyombet L, Nkoghe D, Assengone Zeh Y, Chouteau PY, Loembe PM
Jazyk: francouzština
Zdroj: Neuro-Chirurgie [Neurochirurgie] 2006 Sep; Vol. 52 (4), pp. 339-46.
DOI: 10.1016/s0028-3770(06)71228-0
Abstrakt: Purpose: Spondylolisthesis is a spinal disease revealed by lombalgia and/or lombosciatalgia, which may persist under medical treatment and physiotherapy. Indications for surgery are impairing symptoms and emergency conditions. We report outcome in 21 patients (14 women, 7 men, aged from 30 to 60 years old) who underwent surgery for isthmic (n = 10) and degenerative (n = 11) spondylolisthesis. Radiographic staging was: I in seven patients, II in ten, and III in four.
Method: Many techniques were used: simple laminectomy (n = 4), Gill's operation (n = 4), Lapras' technique (n = 4), and Roy-Camille instrumentation (n = 9).
Results: Immediate and long-term postoperative follow-up of sixteen patients confirm good results: excellent outcome in eleven patients, good in four, and fair in one.
Conclusion: Considering social and economic factors, we prefer Lapras' technique which provides very satisfactory results.
Databáze: MEDLINE
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