摘要
目的胸腰段中央型椎间盘突出采取扩大后外侧入路去除突出及钙化的椎间盘。方法本组病例男16例,女5例,年龄21～65岁,平均43.9岁,L1-2突出为11例次,T11-12为8例次,T12-L1为5例次。均为中央型突出为主,均行扩大后外侧入路处理。结果所有病例均获得改善,随访1～3.5年,平均2年。结论扩大后外侧入路行胸腰段中央型椎间盘突出,出血少,创伤小,对脊髓影响小,能达到完全减压的目的。
Objective To introduce an extensive posterolateral approach for the treatment of thoracolumbar central disc herniation（CDH）. Methods 21 cases with thoracolumbar CDH were operated by this approach,including five male cases, sixteen female cases,with average age 45（ranging from 21 to 61 ）. Among them, 11 cases involving L1-2,8 cases T11-12, 15 cases T12-L1,respectively. Results All the patients obtained neurological improvement without reocurrence during an average 2 years follow-up（ranging from 1 to 3.5 years）. Conclusion The extensive posterolateral approach is an effective method for complete clearing of thoracolumbar CDH,with less bleeding,less bone structure damage,as well as less compress on spinal cord.
出处
《颈腰痛杂志》
2008年第6期503-506,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
胸腰段
中央型椎间盘突出
后外侧入路
thoracolumbar
central disc herniation（CDH ）
posterolateral approach
