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腰椎板减压术后对脊柱稳定影响的临床分析
Hits: 1981   Download times: 1117   Received:March 06, 1997    
作者Author单位UnitE-Mail
高苏宁 Gao Suning 中国人民解放军第81医院,南京210002 The 81th Hospital of PLA, Nanjing (210002)  
陈长玉 Chen Changyu 中国人民解放军第81医院,南京210002 The 81th Hospital of PLA, Nanjing (210002)  
邹晓波 Zou Xiaobo 中国人民解放军第81医院,南京210002 The 81th Hospital of PLA, Nanjing (210002)  
韩晓光 中国人民解放军第81医院,南京210002 The 81th Hospital of PLA, Nanjing (210002)  
许竟斌 中国人民解放军第81医院,南京210002 The 81th Hospital of PLA, Nanjing (210002)  
期刊信息:《中国骨伤》1998年11卷,第1期,第6-8页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
1988年2月至1994年5月,作者采用椎板减压术治疗退变性腰椎管狭窄症48例,对46例进行回顾性分析,平均随访时间3年2月。4例原有滑脱范围增加,5例发生滑脱,但术后症状均有改善,手术效果同无滑脱组相比无明显差别。因此认为对退变性腰椎管狭窄症做充分后路减压的同时应尽量保留外侧半小关节,常规植骨融合意义不大。
[关键词]:退变性腰椎管狭窄症  腰椎滑脱  椎板减压术
 
Clinical Analysis of Spine Stability after Posterior Decompression for Degenerative Lumbar Canal Stenosis
Abstract:From 1988 to 1994, 48 cases of the degenerative lumbar canal stenosis had been treated with posterior decompression without fusion of the lumbar spine. 46 cases had been followedup for 3 years and 2 months and the retrospective analysis was made. It was found that the range of original vertebral slipping became larger in 4 cases. The lumbar slipping was happened in 5 cases. The symptomes in all of them were improved after the operation and there was no obvious difference in the operative effect as compared with the cases without lumbar slipping. The causes of slipping were discussed. The writers suggested that it is important to reserve the lateral half of facet joint as much as possible while adequate posterior decompression is applied to degenerative lumbar canal stenosis and that there is no great significance for the routine application of spinal fusion.
KEYWORDS:Degenerative lumar canal stenosis  Lumbar spondylolisthesis  Posterior decompression
 
引用本文,请按以下格式著录参考文献:
中文格式:高苏宁,陈长玉,邹晓波,韩晓光,许竟斌.腰椎板减压术后对脊柱稳定影响的临床分析[J].中国骨伤,1998,11(1):6~8
英文格式:Gao Suning,Chen Changyu,Zou Xiaobo.Clinical Analysis of Spine Stability after Posterior Decompression for Degenerative Lumbar Canal Stenosis[J].zhongguo gu shang / China J Orthop Trauma ,1998,11(1):6~8
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