Summary
Seven patients with severe lumbosacral spondylolisthesis were treated by reduction of the displacement followed by stabilisation by anterior interbody fusion. In the two youngest patients full reduction was achieved by halo-pelvic traction. In the remainder halo-pelvic or femoral traction was combined with a posterior wire reduction device. All patients achieved a sound fusion with complete remission of symptoms.
Résumé
Sept patients présentant un spondylolisthésis de degré III ou IV ont été traités par réduction du déplacement par traction, suivie d'arthrodèse corporéale par voie antérieure. Chez les deux sujets les plus jeunes (12 et 16 ans) une réduction parfaite a été obtenue par la seule traction halo-pelvienne. Cependant, les cinq autres cas ont nécessité une traction directe par fil (par voie postérieure) en plus de la traction halo-pelvienne ou fémorale. Le traitement terminé, tous les malades présentaient une fusion solide ainsi qu'une disparition complète de tous leurs symptômes.
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Ohki, I., Inoue, S., Murata, T. et al. Reduction and fusion of severe spondylolisthesis using halo-pelvic traction with a wire reduction device. International Orthopaedics 4, 107–113 (1980). https://doi.org/10.1007/BF00271093
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DOI: https://doi.org/10.1007/BF00271093