卷帘式腰椎管成形术治疗老年退变性腰椎管狭窄症  

Application of Shutter-type Lumbar Laminoplasty with the Spinal Ligament Complex for the Treatment of Degenerative Lumbar Spinal Stenosis

作　　者：贺建新[1] 林雪英[1] 

机构地区：[1]三峡大学第三临床医院骨外二科,湖北宜昌443002

出　　处：《实用骨科杂志》2011年第6期498-502,共5页Journal of Practical Orthopaedics

摘　　要：目的探讨与总结采用卷帘式椎管成形术治疗老年退变性腰椎管狭窄症的疗效及优越性。方法自2004年5月至2009年12月，对22例老年退变性腰椎管狭窄症患者采用保留椎板棘突韧带复合结构椎管减压的卷帘式腰椎管成形术治疗。结果本组病人均获随访，时间3个月～5年，无症状复发，无腰椎不稳，取得良好的临床疗效。14例患者在术后2～3个月CT扫描可看到满意的骨痂生长，未见回植椎板移入椎管或有移入倾向，未见截骨前缘过度增生对硬膜产生新的压迫等。结论卷帘式腰椎管成形术安全、可靠、疗效好，具有避免椎管内黏连与瘢痕压迫，恢复局部解剖和维持脊柱稳定的特点。既可对腰椎管狭窄进行减压，又可减少对腰椎稳定性的损害。Objective To investigate security,reliability and advantage of shutter-type lumbar laminoplasty with the spinal ligament complex for the treatment of degenerative lumbar spinal stenosis （DLSS）. Methods From May 2004-December 2009 in 22 elderly patients with degenerative lumbar spinal stenosis treated with shutter-style treatment of lumbar laminoplasty. Results All patients were followed up for 3 months or more （3 months to 5 years） ,and got a good clinical effect. Satisfactory callus growth can be seen in most cases （14 cases） from 2 to 3 months postoperatively by CT scans. No nonunion,displacement of reimplanted lamina,overgrowth of anterior bone edge of osteotomy,no recompression of the nerves and instability of lumbar spine occurred in this group. Conclusion Application of the shutter-type lumbar laminoplasty with the Spinal Ligament Complex for the Treatment of Degenerative Lumbar Spinal Stenosis has advantages of avoiding adhesion and sear formation of the lumbar canal ,restoring the anatomy and keeping stability of the spine. It can carry out the decompression of lumbar spinal stenosis,but also keep the stability of the lumbar spine.

关 键 词：卷帘式 椎管成形术 腰椎管狭窄症 疗效 

分 类 号：R681.57[医药卫生—骨科学]