The factor affects the prognosis of lumbar degenerative spondylolisthesis

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  • 腰椎変性すべり症の予後に影響する因子の検討　　保存的治療例と手術的治療例の検討から
  • ヨウツイ ヘンセイスベリ ショウ ノ ヨゴ ニ エイキョウ スル インシ ノ ケントウ ホゾンテキ チリョウレイ ト シュジュツテキ チリョウレイ ノ ケントウ カラ

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Abstract

This study reviewed the results of the conservative treatment and operative treatment for lumbar degenerative spondylolisthesis (DS). 95 patients with DS were included in this study. 22 were men and 73 were women and the average age at admission was 67 years old. The average follow up period was 2 years. We evaluated their JOA score, the neurological symptoms and the findings of the myelograms and the CTM at the time of admission. JOA score and the symptoms correlated with the prognosis, the operations were performed in almost the patients with cauda equina syndrome. In all cases, the area of the bony canal measured by the CTM correlated with the prognosis, and in the cases with radicular symptoms, there was a correlation between the diameter of the lateral recess and the prognosis. The percent of slip did not correlate with the prognosis.

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