局解手术学杂志2017，Vol.26Issue(9)：660-663,4.DOI:10.11659/jjssx.04E017007
单纯椎板切除后发生椎间盘突出的危险因素分析
Analysis on risk factor for lumbar disc herniation after decompression
摘要
Abstract
Objective The study aimed to identify risk factors of lumbar disc herniation in patients after decompression,and provide theoretical basis for postoperaive rehabilitation.Methods A told of 169 patients with lumbar spinal stenosis underwent bilateral partial laminectomy were included in the study,24 patients in herniation group,and 145 patients without develop postoperative acute sciatica as a control group.The radiographic variables were measured.The threshold of risk factors was evaluated by multiple logistics analysis and receiver operating characteristic curve(ROC) analysis.Results The results revealed that preoperative retrolisthesis during extension was the independent risk factor for lumbar disc herniation(1.24,95％CI[1.07～1.43];P<0.01).The area under the curve(AUC) was 0.801,and the cutoff value was 6.89％.Conclusion The preoperative retrolisthesis was the risk factor of lumbar disc herniation.关键词
椎间盘突出/椎板切除术/腰椎后滑脱/椎管减压术Key words
disc herniation/laminectomy/lumbar retrolisthesis/spinal decompression分类
医药卫生引用本文复制引用
张正平,章雪芳,李辉,刘团江,赵勤鹏,黄琳红,曹子君,何立民,郝定均..单纯椎板切除后发生椎间盘突出的危险因素分析[J].局解手术学杂志,2017,26(9):660-663,4.基金项目
陕西省社会发展科技攻关项目(2016SF-221) （2016SF-221）
