临床骨科杂志Issue(5)：544-547,4.DOI:10.3969/j.issn.1008-0287.2015.05.015
腰骶移行椎伴椎间盘突出的临床特点
Clinical features associated with lumbosacral transitional vertebrae disc herniation
摘要
Abstract
Objective To investigate the clinical features associated with lumbosacral transitional vertebrae disc her-niation patients to improve clinical cure rate. Methods 65 cases diagnosed by imaging studies had associated with lumbosacral transitional vertebrae were underwent posterior lumbar surgery treatment, fenestration 29 cases of unilat-eral, bilateral fenestration in 10 cases, laminectomy, expanded the nerve root canal for 26 cases, including 15 cases of application of pedicle screws. Results The average age of patients with mild (31. 7 ± 2. 5) years old, less than some of the literature. 37 cases (57%) in 65 cases were associated with varying degrees of scoliosis,15 cases (23%) dominated nerve root zone variability. Lumbar sacral, there may be nerve root distribution variation downward tenden-cy, while the waist of sacral, nerve root distribution variation moved tendencies. Postoperative patients were followed up for 3~7 years. The satisfaction rate among unilateral windows 25/29,bilateral fenestration satisfaction rate was 9/10,Laminectomy, nerve root canal expansion and internal fixation satisfaction rate was 22/26. Conclusions With lumbosacral transitional vertebrae disc herniation are younger, mostly accompanied by scoliosis, and some may have nerve root dominated area mutate, when its performance for lumbar sacral, there may be nerve root downward tenden-cy dominated area, and sacral when lumbar vertebra of, there may be a tendency on the move. Reasonable procedure can lead to satisfactory results.关键词
腰骶移行椎/椎间盘突出症/支配区变化/长期随诊Key words
lumbosacral transitional vertebrae/disc herniation/surgery/istribution variation/long-term follow-up分类
医药卫生引用本文复制引用
张铁峰,陈崇文,佟斌,张露,韩爽,程漠松,阚阔..腰骶移行椎伴椎间盘突出的临床特点[J].临床骨科杂志,2015,(5):544-547,4.基金项目
锦州市卫生局科研基金(编号:2011JZW016) （编号:2011JZW016）
