摘要
目的：探讨６０岁以上老年性腰椎管狭窄症外科治疗的方法及疗效。方法：自病变间隙切除棘间韧带，咬除部分上、下棘突和椎板（１／４～１／３），切除黄韧带，两侧小关节突内缘有限切除（＜１／３），前方凿除骨性凸起及摘除突出髓核，伴腰椎不稳者，行保留的上、下棘突劈开自体髂骨植入植骨。结果：２０例经１２～１８个月随访，疗效均达优。结论：腰椎管环形减压术治疗老年性腰椎管狭窄，目的性强，减压较彻底，对腰椎稳定性影响小。
Objective:To discuss the operative methods and the effect of surgical treatment for the lumbar vertebral canal stenosis in the elder patients over 60 years old.Methods:The interspinal ligament,partial spinous process and lamina(1/4～1/3)and ligament flavum were resected from the space of the lesion at first,and then localized resection of the inner verge of the facet joint process was made,the osseous bulge and the herniated disc were resected finally.If lumbar instability presented,interspinal bone graft was performed.Results:The operative effect of 12～18 months follow up in 20 patients with lumbar vertebral canal stenosis was excellent.Conclusion:Lumbar vertebral canal circular decompression has the advantages of having definite objective,more thorough decompression and less influence upon the stability of lumbar vertebrae.
出处
《中国矫形外科杂志》
CAS
CSCD
1999年第4期254-256,共3页
Orthopedic Journal of China
基金
淮阴市科研基金
关键词
老年性
腰椎
椎管狭窄症
外科手术
治疗
Senile Lumbar vertebral canal Stenosis Surgical treatment.
