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首页> 外文期刊>Seminars in spine surgery >Surgical management of adult spondylolysis and spondylolisthesis
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Surgical management of adult spondylolysis and spondylolisthesis

机译：成人腰椎峡部裂和腰椎滑脱的外科治疗

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摘要

The surgical management of spondylolisthesis depends on the type of spondylolisthesis, the grade of slip, and the clinical setting. The surgical approaches may broadly be divided into decompression alone, fusion alone, and a combination of decompression and fusion. Fusion options can be further subdivided into non-instrumented vs. instrumented, anterior vs. posterior, with or without interbody support, and/or combined approaches, often referred to as circumferential fusions. The indication for surgical treatment of spondylolysis is persistent, disabling back pain refractory to conservative management. In conclusion, an evidence-based approach combined with shared decision making with informed patients will lead to successful outcomes.
机译：腰椎滑脱的手术治疗取决于腰椎滑脱的类型，滑脱的程度和临床情况。手术方法可大致分为单独减压，单独融合以及减压和融合的组合。融合选项可以进一步细分为非仪器化与器械化，前部与后部，有或没有椎间支持和/或组合方法，通常称为周向融合。脊椎溶解的外科治疗适应症是持续性的，使保守治疗难以治愈的背痛变得无效。总之，基于证据的方法与知情患者的共同决策相结合将导致成功的结果。

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