RESUMO
[reaction: see text] A new allylstannane reagent on non-cross-linked polystyrene was developed for the first time. This support differs markedly from standard cross-linked polymers because it is completely soluble in organic solvents; moreover, the reactions can be conveniently monitored directly by standard 1H NMR methods. The allylstannane underwent a free radical reaction with an alkyl halide to form a new allyl appendage. Tin byproducts can be easily recovered from cold methanol as white crystalline solids.
RESUMO
The purpose of this article is to evaluate three surgical approaches to the treatment of degenerative spondylolisthesis. A review of 107 surgically treated cases were used to select a group of patients who met the following criteria: No previous spine surgery, no involvement in litigation, and no significant lesions at other levels of the spine. Adequate follow-up. The selected group of 47 surgically treated cases of degenerative spondylolisthesis had follow-up of 2-7 years. Three surgical approaches to the treatment of degenerative spondylolisthesis were analyzed. A relatively small patient group with a wide posterior decompression, at the level of the slip, sacrificing the articular processes had good to excellent results in only 33% of the cases. A second group with a midline posterior decompression with preservation of the articular processes had 80% good to excellent results after 2 years. The third group with a midline decompression and preservation of the articular processes had an added intertransverse process fusion between the olisthetic levels. This group had 90% good to excellent results. The conclusion is that a posterior decompression with preservation of the articular processes plus a transverse process fusion at the involved level is the preferred method of treatment for degenerative spondylolisthesis without regard to age.