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. 2001;25(5):326-30.
doi: 10.1007/s002640100269.

Modified sacrospinalis muscle pedicle bone graft for fusion of isthmic spondylolisthesis

F F Adam  1
Affiliations

Modified sacrospinalis muscle pedicle bone graft for fusion of isthmic spondylolisthesis

F F Adam. Int Orthop. 2001.

Abstract
in English, French

We treated 20 patients with symptomatic L4-5 isthmic spondylolisthesis (ten grade I, nine grade II and one grade III) surgically. All patients complained of low back pain and nine had additional radicular pain. Bilateral posterolateral fusion using the sacrospinalis muscle as a muscle pedicle bone graft was carried out in all patients. Decompression was added in patients with radiculopathy. Follow-up ranged from 12 to 28 months. Pain relief was graded as excellent in 18 patients, radiographic fusion as excellent in 17 patients and functional outcome as excellent in 19 patients.

Nous avons traité chirurgicalement 20 patients porteurs d'un spondylolisthésis isthmique L4-L5 symptomatique (dix grade I, neuf grade II et un grade III). Tous les patients se plaignaient de lombalgies et neuf avaient aussi des douleurs radiculaires. Chez tous les patients une arthrodèse postérolatérale bilatérale a été faite en utilisant le muscle sacrospinalis pour pédiculer la greffe osseuse. Une décompression a été effectuée chez les patients avec radiculopathie. Le suivi a été de 12 à 28 mois. Le soulagement de la douleur a été noté comme excellent pour 18 patients, la fusion radiographique comme excellente chez 17 patients et le résultat fonctionnel comme excellent pour 19 patients.

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