中国骨伤2017，Vol.30Issue(2)：175-178,4.DOI:10.3969/j.issn.1003-0034.2017.02.016
腰椎黄韧带骨化伴腰椎管狭窄的治疗
Treatment of ossification of ligamentum flavum complicated with lumbar spinal stenosis
摘要
Abstract
Objective:To investigate the imaging characteristic and operation outcome of ossification of ligamentum flavum with lumbar spinal stenosis. Methods:From January 2013 to January 2016,9 patients with ossification of ligamentum flavum with lumbar spinal stenosis were treated,included 5 males and 4 females,aged from 51 to 63 years old with an average of 57 years old. All patients complained intermittent claudication and radiating pain at lower limb. The pathologic change re-gions examined by CT or MRI were as follows:2 cases in L4,5 and L5S1,5 in L4,5,and 2 in L5S1. Four patients underwent simple laminectomy and 5 patients underwent laminectomy and discectomy ,interbody fusion and internal fixation with pedicle screw. Clinical effects were evaluated according to JOA score,which items included subjective symptom,daily activity limitation, clinical sign and bladder function. Results:No complications such as infection or nerve injury were found after operation. The follow up period was from 12 to 60 months with an average of 24 months. The low back pain and radiating pain at lower limb improved significantly and walking distance approached normal at final follow up;and JOA scores improved obviously. Con-clusion:Ossification of ligamentum flavum has the special characteristic on CT scan ,which decide the selection of operation method. The operative aim is effectively spinal decompression and rebuilding lower lumbar stability by minimally invasive surgery.关键词
腰椎/黄韧带骨化/椎管狭窄Key words
Lumbar vertebrae/Ossification of ligamentum flavum/Spinal stenosis引用本文复制引用
蓝旭,高杰,许建中,刘雪梅..腰椎黄韧带骨化伴腰椎管狭窄的治疗[J].中国骨伤,2017,30(2):175-178,4.基金项目
国家留学基金委资助项目(编号:201203170093)Supported by China Scholarship Council (No. 201203170093 ) （编号:201203170093）
