显微镜辅助下后路责任间隙有限减压治疗高龄退行性腰椎侧凸合并椎管狭窄  

Microscope-assisted posterior liability gap limited decompression in treatment of elderly degenerative lumbar stenosis associated with scoliosis

作　　者：冯立卫[1] 芦健民[1] 杨圣[1] 廉皓屹[1] 付大鹏[1] 

机构地区：[1]大连大学附属中山医院骨科,辽宁省大连市116001

出　　处：《中国骨与关节损伤杂志》2013年第3期219-221,共3页Chinese Journal of Bone and Joint Injury

基　　金：国家自然科学基金项目资助(30870647)

摘　　要：目的对高龄退行性腰椎侧凸合并腰椎管狭窄患者行显微镜辅助下行后路责任间隙有限减压治疗，并对该方法及其疗效进行评估分析。方法从2010年6月～2012年3月，在手术显微镜辅助下，对50例心脑肺功能不全高龄退行性腰椎侧凸合并腰椎管狭窄行后路责任间隙有限减压治疗，并采用目测类比评分法（VAS）和腰椎JOA评分系统评估患者治疗前后的评分改善状况。结果本组46例神经症状完全缓解；4例好转。VAS评分从术前的（9．12±0．71）分降为术后6个月的（2．37±1．40）分，JOA评分从术前的（12．1±1．40）分增加为术后6个月的（24．6±1．43）分，术后随访6±15个月，平均（12±0．6）个月，所有患者症状无加重和复发。结论脊柱显微镜辅助下行“后路责任间隙有限减压”治疗高龄退行性腰椎侧凸合并腰椎管狭窄是一种有效的治疗方法。Objective To evaluate curative effect of microscope-assisted posterior liability limited clearance decompression treatment for elderly degeneratvie lumbar side protruding combined with lumbar spinal stenosis. Methods From June 2010 to March 2012, 50 elderly patients with degenerative lumbar seoliosis associated with lumbar stenosis were treated via microscope-assisted posterior liability limited clearance decompression. And visual analogue scale（VAS） and lumbar JOA score system were used for the assessment of score improvement before and after treatment. Results All patients were followed up for 6 to 15 months, average （12±0.6） months. The neurological symptoms were completely relieved in 46 cases, moderately relieved in 4 cases. VAS score decreased from pre-operative （9.12±0.71） to 6 months after surgery （2.37±1.40）. JOA score increased from pre-operative （12.1±1.40） to 6 months after surgery （24.6±1.43）. There were no worse or recurrent symptoms in all cases. Conclusion Spinal microscope-assisted posterior liability gap limited decompression in treatment of senile degenerative lumbar scoliosis associated with lumbar stenosis is an effective treatment method.~

关 键 词：退行性腰椎侧凸 腰椎管狭窄 责任间隙 有限减压 

分 类 号：R681.5[医药卫生—骨科学]