摘要
本文报告３１例椎管内病变切除后行椎板复位术，目的是保持脊柱的正常结构完整，避免椎板切除后脊柱变形。３１例椎管病变中，椎管内肿瘤１８例，脊髓空洞５例，椎管狭窄８例。采用整块切除，术后椎板复位固定，椎板切除数１～５个，平均２．８个。经手术后６个月～２年随诊，３１例患者中，２０例患者完全恢复正常，９例明显改善，２例好转，无１例加重。３１例患者的脊柱序列均正常，无１例脊柱畸形和椎体滑脱者。
Thirty-one patients with intraspinal lesions were operated and followed by using laminae replacement. The goal is presrvation of the skeletal stucture and avoidance of spinal deformity. In the 31 cases: 18 with spinal cord tumors, 5 with syingomyelia, 8 with spinal stenosis. The laminae were removed en bloc, after the intraspinal lesions eradiated, the whole laminae were replaced ane fised. The number of laminae removed were one to five, with average of2. 8 laminae. Follow-up ranged from 6 months to 2 years. In these 31 patients, 20 of them recoverd normally, 2 were marked improvement, 2 were fair,no one became worsening. Postoperative X-ray, CT and MRl examination showed the spinal alignment were all normal, no spinal deformity and vertebral subluxation were observed.
出处
《中华神经外科杂志》
CSCD
北大核心
1996年第3期147-149,共3页
Chinese Journal of Neurosurgery
