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Incomplete spondylolysis of the first sacrum： a case report

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Chinese Medical Journal 2010年第2期123卷 248-249页

作者： HE Shi-sheng ZHAO Ying-chuan B.J.C. Freeman SHI Zhi-cai LI Ming ZHANG Ye YU Lin Department of Orthopedics. Changhai Hospital. Shanghai 200433 China Department of Orthopedics. Shanghai Tenth People's Hospital Shanghai 200072 China The Centre for Spinal Studies and Surgery. University Hospital Queen's Medical Centre. Nottingham NG7 ZUH UK

spondylolysis is generally attributed to stress fracture, due to movement of the affected vertebrae relative to the vertebra below and is most common in lower lumbar *** S1 and S2 are fused, spondylolysis of S1 due to stress fracture would unlikely to occur. Although there have been some reports of S1 spondylolysis in ancient Alaskan and Canadian lnuit skeletons, no clinical S1 spondylolysis case due to stress fracture has been reported until now. A 17-year-old, female gymnast with incomplete spondylolysis of S1 is presented here.

关键词： spondylolysis sacrum

Combining Posterolateral Lumbar Fusion and Posterior Lumber Interbody Fusion Surgery for Treating Three-Level Lumber spondylolysis and Single-Level Spondylolisthesis: Case Report

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Journal of Biosciences and Medicines 2019年第8期7卷 77-83页

作者： Yazhong Zhang Yijie Liu Jie Chen Xuefeng Li Heng Wang Genlin Wang Huilin Yang Weimin Jiang Department of Orthopaedic Surgery The First Affiliated Hospital of Soochow University Suzhou China

Lumbar spondylolysis is a relatively common condition that can cause a variety of clinical manifestations related to the lumbar spine. However, multi-level lumbar spondylolysis is rare and accounts for less than 6% of lumbar spondylolysis. We report a case of three-level lumbar spondylolysis with single-level spondylolisthesis. A 47-year-old woman presented to us with low back pain for 9 years that progressively worsened and the pain was exacerbated with standing and walking. She was diagnosed with three-level lumbar spondylolysis at L3-5 and spondylolisthesis at L4. We performed posterolateral lumber fusion (PLF) and posterior lumbar interbody fusion (PLIF) surgery for her. During the same period, pain recovery and fusion rate of the patient were evaluated after surgery. The results were favorable and proved the efficacy of combining PLF and PLIF technique for treatment for three-level lumbar spondylolysis and single-level spondylolisthesis.

关键词： Multilevel Lumbar spondylolysis Low Back Pain Isthmic Spondylolisthesis Spinal Fusion

Vibration Signal Analysis for Detecting Early-Stage Lumbar spondylolysis Using Synthetic Bone

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Journal of Biomedical Science and Engineering 2018年第12期11卷 338-347页

作者： Hiroyuki Watanabe Naohiro Tahara Rina Sakai Naonobu Takahira Suguru Torii Atsuhiko Matsunaga Department of Rehabilitation School of Allied Health Sciences Kitasato University Sagamihara Japan Osada Hospital Yokohama Japan Department of Medical Engineering and Technology School of Allied Health Sciences Kitasato University Sagamihara Japan Faculty of Sports Science Waseda University Tokorozawa Japan

Bone fractures can be detected by analyzing vibration signals following bone stimulation. This method can also be applied to detect stress fractures, such as spondylolysis. The aim of this study was to investigate whether vibration signal analysis can be used to detect lumbar spondylolysis in synthetic bone. Four synthetic spondylolysis models of the fifth lumbar vertebra (Sawbones, product No. SAW1352-10: Malmö, Sweden) were prepared, with the following conditions: intact, unilateral defect, and bilateral defect. Unilateral defects were created by making an incision of either half the diameter (50% incision) or the entire diameter (100% incision) in length through the pars interarticularis or pedicle. Bilateral defects were created by making an additional incision of half the diameter in length on the opposite side of the defected pars interarticularis or pedicle (50% + 100% incision). Hammering was performed five times on each spinous process of the fixed synthetic bones and vibration signals were measured using an accelerometer attached to the contralateral side of the hammer. Signals were analyzed using fast Fourier transform. The parameters analyzed included the mean power frequency, first power minimum frequency (the minimum value between the first and second peaks), spectral areas of low and high frequency bands, and the relative ratio between the spectral areas of low and high frequency bands. The relative ratio was significantly lower in the 50%, 100%, and 50% + 100% incision conditions compared to the intact condition (p spondylolysis.

关键词： Vibration Signal spondylolysis Synthetic Bone Lumbar Vertebra

运动员腰椎脱离症(spondylolysis)初步报告

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上海第一医学院学报 1965年第1期 41-44页

作者：范振华许胜文董煜麟上海第一医学院运动医学教研组

腰椎脱离症(spondylolysis)是慢性腰痛原因之一。百余年来有过不少关于此病的报告,但讨论到此病与体育运动关系的则很少。自1961年1月至1964年5月,我院运动创伤门诊陆续发现运动员患腰椎脱离症者共10例。因其对运动员运动能力有严重影响... 详细信息

腰椎脱离症(spondylolysis)是慢性腰痛原因之一。百余年来有过不少关于此病的报告,但讨论到此病与体育运动关系的则很少。自1961年1月至1964年5月,我院运动创伤门诊陆续发现运动员患腰椎脱离症者共10例。因其对运动员运动能力有严重影响,且其病因和治疗问题未全解决,预防更少办法,因此作初步报告,以引起注意与研讨。

关键词：腰椎腰痛病例阳性率 spondylolysis 关节突椎弓运动员体育工作者

Effects and Mechanisms of Needle Pricking Therapy and Rotating-pulling Manipulation on Blood Velocity of Patients with Vertebral Artery Type of Cervical Spondylosis

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Journal of Acupuncture and Tuina Science 2010年第5期8卷 304-309页

作者：陈栋张谦钟键陈大典 No. 1 Affiliated Medical College Jinan University Guangzhou 510630 E R. China Guangxi University of Technology Liuzhou 545006 E R. China No.2 Affiliated Hospital Sun Yat-sen University Guangzhou 510120 P. R. China

Objective： To compare the effects of needle pricking therapy plus rotating-pulling manipulation and rotating-pulling manipulation on blood velocity, angiokinesis, and blood viscosity in patients with vertebral artery type of cervical spondylosis （CSA）, and discuss its mechanisms. Methods： 216 patients were randomly divided into 2 groups according to numeric representation, 108 cases in the treatment group were treated by needle pricking therapy plus rotating pulling manipulation, and 108 cases in the control group were treated by rotating pulling manipulation. The peak systolic blood velocity （Vpeak）, end diastolic blood velocity （Vmin）, pulsatile index （PI） and resistant index （RI） of the bilateral vertebral arteries （VA） and basilar arteries （BA） were examined by transcranial doppler sonography （TCD）. The values of whole blood apparent viscosity and plasma viscosity of both groups were recorded. The indexes before and after treatment of both groups were compared. Results： The therapeutic effects of the above-mentioned indexes of the treatment group were significantly superior to those of the control group （P〈0.05）. In comparison with pre-treatment, the whole blood apparent viscosity （high, medium and low shear rates） and plasma viscosity of the treatment group post-treatment were obviously reduced （P〈0.01, P〈0.05）. Conclusion： Needle pricking therapy combined with pulling-rotating manipulation can significantly improve VATCS patients＇ clinical symptoms, which may be closely related to its effects in lowering vascular blood resistance and blood viscosity and increasing cerebral blood supply.

关键词： spondylolysis Neck Pain Acupuncture Therapy Piercing Method Tuina Massage

rhBMP in lumber fusion for lumbar spondylolisthesis: A systematic review and meta-analysis

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Chinese Journal of Traumatology 2019年第1期22卷 51-58页

作者： Peng-Fei Han Tao-Yu Chen Zhi-Liang Zhang Xiao-Dong Li Peng-Cui Li Lei Wei Zhi Lu Xiao-Chun Wei Department of Orthopaedic The Second People's Hospital of Changzhi Changzhi Shanxi Province China Department of Orthopaedic The Second Clinical Medical College of Shanxi Medical University Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair Taiyuan Shanxi Province China

Purpose: To compare the efficacy and safety of recombinant human bone morphogenetic protein (rhBMP) and iliac crest autograft in the fusion treatment of lumbar spondylolisthesis. Methods: The studies using randomized con trolled trials to compare the rhBMP with iliac crest autograft in the treatment of lumbar spondylolisthesis were retrieved from Embase, Pubmed, ProQuest dissertations & theses (PQDT), China national knowledge infrastructure (CNKI), Chinese Biomedical Database, Wanfang Data, Cochrane Library (from March 1998 to March 2018). Postoperative fusion rate, clinical success rate, postoperative intervertebral height, complications, operation time, blood loss and duration of hospitalization were chosen as the outcome indicators. Methodological quality of the trials was critically assessed, and releva nt data were extracted. Statistical software Revman 5.3 was used for dataanalysis. Results: Eleven articles were included in the meta-analysis. The results showed that, comparing the efficacy of rhBMP with iliac crest autograft, statistical significance was found in the 24-month fusion rate post operation [95% CI (1.38, 24.70), p = 0.02] and operation time [95% CI (-14.22,-2.08), p = 0.008]. There is not sufficient evidence for statistical differences in the remaining indicators. Conclusion: The current literature shows rhBMP is a safe and effective grafting material in the treatment of lumbar spondylolisthesis. Further evidenee is dependent on the emergence of more randomized controlled trials with higher quality and larger sample sizes in the future.

关键词： spondylolysis Bone morphogenetic proteins Ilium Autografts Meta-analysis

Application of 3D printing technique in pedicle screw placement for the lumbar isthmic spondylolisthesis

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Journal of Hainan Medical University 2019年第18期25卷 29-34页

作者： Zhu Nai-Qiang Hou Jing-Yi Ma Gui-Yun Liu Jin-Xin Chen Bin Seconde Department of Spinal Surgery Affiliated Hospital of Chengde Medical CollegeChengde 067000China Chengde Medical College Chengde 067000China 不详

Objective:To investigate the application value of 3D printing technique in the operation of the lumbar isthmic *** Totally 48 patients with lumbar isthmic spondylolisthesis treated in our department from January 2015 to April 2017 were selected in the research *** to the random digital table method,they were divided into the observation group and the control group,with 25 cases in the observation group and 23 cases in control *** patients were treated with transforaminal lumbar interbody fusion(TLIF).The control group made the observation group made the operation plan with 3D printing technology,and the operation plan according to the 3D CT reconstruction *** clinical and imaging results were compared between the two groups、including operation time、intraoperative blood loss and X-ray exposure、complications、preoperative and postoperative ODI and JOA *** The accuracy of the screw placement in the observation group was 95.33%,which was significantly higher than those of 84.06%in the control group,the differences were statistically significant(P0.05).Conclusions 3D printing technology is helpful to the development of the lumbar isthmic spondylolisthesis surgical plan,with the advantages of shortening the operation time and X-ray exposure,reducing the blood loss,improving the accuracy of the screw placement.

关键词： 3D printing spondylolysis Spondylolisthesis Pedicel screw

Comparison of Two Radiographic Lumbar Spine Screening Protocols for the Detection of Abnormalities in Special Forces Candidates

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International Journal of Clinical Medicine 2011年第5期2卷 613-616页

作者： Ori Wand Alon Grossman Alex Prokupetz Amit Assa 不详

Background: Medical screening for Special Forces (SF) has significant implications on operational competency of the soldiers. Two lumbar spine defects, spondylolysis and spondylolisthesis, are currently disqualifying from joining the SF in the Israeli Defense Force. Purpose: To evaluate the yield of four lumbar x-ray compared with two lumbar x-ray for the diagnosis of spondylolysis and spondylolisthesis. Design: Retrospective comparison of the diagnostic yield of the two modalities. Patient sample: Special forces unit candidates undergoing routine x-ray for the diagnosis of spinal defects. Outcome measures: The rate of diagnosis of spondylolysis and spondylolisthesis between the two groups. Methods: We retrospectively compared two lumbar spine radiographic screening protocols regarding the rate of diagnosis for disqualifying spinal defects in asymptomatic candidates for SF. All radiographs were obtained as part of a routine medical evaluation for SF. Results: 1026 candidates were examined with two lumbar spine radiographs (Anteroposterior (AP) and lateral). 338 candidates were examined with four lumbar radiographs (AP, lateral and oblique radiographs). spondylolysis and spondylolisthesis were diagnosed at a significantly higher rate in the four-radiograph group than in the two-radiograph group (2.66%, 1.77% vs. 1.26%, 0.39% respectively, P = 0.003). Conclusions: Adding two oblique radiographs to the screening process of elite units candidates significantly increases the rate of diagnosis of spondylolysis and spondylolisthesis.

关键词： spondylolysis Spondylolisthesis Low Back Pain