国际医药卫生导报2016，Vol.22Issue(17)：2620-2622,3.DOI:10.3760/cma.j.issn.1007-1245.2016.17.011
有限保留椎板的椎管扩大减压术治疗腰椎管狭窄症的疗效分析
Curative effect analysis of vertebral enlarging decompression with limited reserved vertebral lamina in the treatment of lumbar spinal stenosis
摘要
Abstract
Objective To explore the feasibility of vertebral enlarging decompression with limited reserved vertebral lamina,reserved stable lumbar posterior structure in the treatment of lumbar spinal stenosis.Methods 48 cases of lumbar spinal stenosis from March 2013 to February 2015 were treated by vertebral enlarging decompression and inter-vertebral fusion with pedicle screw-rod fixation with limited reserved vertebral lamina and posterior ligamentous complex.Recorded preoperative,postoperative,at the sixth month of followup VAS score and ODI of back and leg,evaluated the clinical effect.Results Pain relief of back and leg occurred in early postoperative period.There were 43 cases of VAS score below 3,5 cases of VAS score 4-5.At the sixth month of follow-up,the activity of daily living of patients significantly improved,ODI value dropped from preoperative (54.15±21.61)％ to (8.t0±6.74)％,the excellent and good rate was 95.8％.Conclusions Vertebral enlarging decompression with limited reserved vertebral lamina in the treatment of lumbar spinal stenosis has complete decompression,better early phase efficacy,without increased operation difficulty,contribute to early functional rehabilitation,worthy of clinical promotion.关键词
腰椎管狭窄/保留椎板/腰椎后结构/手术治疗Key words
Lumbar spinal stenosis/Reserved vertebral lamina/Lumbar posterior structure/Surgical treatment引用本文复制引用
张建选,裴济民,张成祺..有限保留椎板的椎管扩大减压术治疗腰椎管狭窄症的疗效分析[J].国际医药卫生导报,2016,22(17):2620-2622,3.
