四川医学Issue(1)：38-40,3.DOI:10.16252/j.cnki.issn1004-0501-2015.01.012
带蒂椎板复合体回植钛网固定在退变性腰椎管狭窄治疗中的应用
Application of Laminoplasty of Pedicled Complex Replantation on Reconstruction of Spinal Canal at Degenerative Lumbar Spinal Stenosis
肖睿 1李同相 1官清 1李兴波 1魏书一1
作者信息
- 1. 宜宾市第一人民医院骨二科，四川 宜宾644000
- 折叠
摘要
Abstract
Objective To investigate the therapeutic effects of laminoplasty of pedicled complex replantation on recon-struction of spinal canal at lumbar spinal stenosis. Methods The involved segments were determinged by symptoms, clinical fea-tures and radiographic at the initial examination. 15patients with lumbar spinal stenosis were treated in our hospital. Each case was reserved bilateral facet joint,one or several vertebral lamina were cut by burr drill or micro-rongeur along the inner edge of bilateral facet joint,Superspinal and interspinal ligaments of one side were cut,then pedicelar vertehral lamina complex was retroflexed and intraspinal canal was exposured. After Lumbar spinal canal decompression,pedicelar vertebral lamina complex was replanted and ti-tanic mesh was fixated to reconstruct the integrity of vertebral canal and the stability of spinal column. Application VAS and ODI scoring method for subjective and objective evaluation of clinical curative effect before and after operation. Results The patients were followed up for 12 to 28 months[(13 ± 0. 5) months on average],during which no collapse of the replanted tissues or spinal canal stenosis occurred. Postoperative patients VAS and ODI score significantly higher than before,the difference was statistically sig-nificant(P<0. 05). Conclusion Retroflexing pedicelar vertebral plate complex and fixating with titanium plate in the lumbar spi-nal stenosis is simple,safe. The spinal column active naturelv without limit postoperatively,the technique can maintain the spinal col-umn good stability and protect the spinal column from degradation.关键词
带蒂椎板复合体/钛网固定/退变性腰椎管狭窄症Key words
pedicelar vertebral plate complex/titanic mesh fixation/degenerative lumbar spinal stenosis分类
医药卫生引用本文复制引用
肖睿,李同相,官清,李兴波,魏书一..带蒂椎板复合体回植钛网固定在退变性腰椎管狭窄治疗中的应用[J].四川医学,2015,(1):38-40,3.
