| 椎管扩大成形治疗腰椎管狭窄症长期疗效观察 |
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Received:September 27, 2003
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| 期刊信息：《中国骨伤》2004年17卷，第7期，第400-402页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:介绍一种椎板减压后椎板棘突复合体翻转90°回植椎管成形术治疗腰椎管狭窄症的方法,评价其在治疗腰椎管狭窄症中的应用效果。
方法:对33例腰椎管狭窄症患者采用全椎板复合体切取后,翻转90°回植重建椎管后壁的方法进行治疗,分别于术前、术后1年及术后5年进行下腰痛JOA评分及影像学检查。
结果:33例患者均获得随访,术后3个月复查CT示:椎管成形术后,椎管扩大显著,大部分椎板棘突复合体已与周围骨质完全融合固定(88%)。术后1年时下腰痛评分较术前有显著性差异,术后5年评分与术后1年无显著性差异。
结论:椎板棘突复合体回植椎管成形术有利于脊柱稳定性的重建,减少硬脊膜疤痕粘连的机会,椎管扩大明显,长期疗效肯定,值得临床推广使用。 |
| [关键词]:腰椎 椎管狭窄症 椎管成形术 |
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| Long-term follow-up of the treatment for lumbar spinal canal stenosis with vertebral canaloplasty |
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Abstract:
Objective:To introduce a method for the treatment of lumbar spinal canal stenosis with vertebral canaloplasty by removing the complex of laminae and spinous and reattaching the laminae after being reversed 90°,and to evaluate its clinical effect.
Methods:33 patients with lumbar spinal canal stenosis were treated with spinal canal decompression by removing the complex of laminae and spinous and reconstructing vertebral canals by the way of reattaching the laminae after reversing the complex 90°.Preoperative and postoperative clinical results were analyzed according to JOA score and results of X-ray and CT.
Results:All the patients were followed up.Reviewing at CT in the 3rd months after operation,the area of the spinal canal were significantly increased and the most of complex of laminae and spinous were fused to the laminae (88%).There were no compression of vertebral canals and nerve or dura mater.The JOA score of 1 and 5 years after operation was increased significantly than that before operation.At 1 and 5 years after operation,there was no significant differences.
Conclusion:This method is beneficial to reconstrustion of spinal stability,which can decrease adherent chance of scar of spinal dura mater and obviously increase the area of the spinal canal.The long-term result is affirmative,so it is worthy of wide application. |
| KEYWORDS:Lumbar vertebrae Spinal canal stenosis Vertebral canaloplasty |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 梅荣成,杨述华,陈智良,丁援建,许建湘.椎管扩大成形治疗腰椎管狭窄症长期疗效观察[J].中国骨伤,2004,17(7):400~402 |
| 英文格式: | MEI Rong-cheng,YANG Shu-hua,CHEN Zhi-liang,DING Yuan-jian,XU Jian-xiang.Long-term follow-up of the treatment for lumbar spinal canal stenosis with vertebral canaloplasty[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(7):400~402 |
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