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对32例腰椎假性滑脱症牵引治疗前后X线平片进行对比观察,以了解滑脱椎体的复位程度与临床症状改善的相互关系。结果发现:①该病的主要病理基础是相邻椎间盘退变,导致相应椎体不稳而发生滑脱。②患病者绝大多数为女性,平均年龄51.6岁。③半数病人有外伤史。④治疗前X线平片测量滑脱程度平均7.1mm,治疗后平均为3.99mm,复位率达43.8%。⑤采用瞬间成角牵引辅以手法治疗不仅能使滑脱椎体达到一定程度的复位,而且临床疗效显著。
32 cases of lumbar spondylolisthesis before and after traction treatment of plain radiography were compared to understand the degree of reduction of slipping vertebral body and the improvement of clinical symptoms. The results showed that: ① the main pathological basis of the disease is the degeneration of adjacent disc, resulting in the corresponding vertebral instability and the occurrence of slippage. ② The vast majority of patients were female, with an average age of 51.6 years. ③ half of the patients have a history of trauma. ④ before treatment X-ray measurement of slippage average 7.1mm, after treatment, an average of 3.99mm, the reset rate of 43.8%. ⑤ using instantaneously angled traction supplemented by hand therapy can not only make the spondylolisthesis reach a certain degree of reduction, and the clinical curative effect is remarkable.