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带蒂椎板成形术的设计与临床应用
引用本文:闫毅,钟桂午,于杰,周风金,范少地.带蒂椎板成形术的设计与临床应用[J].中国康复,2003,18(4):233-234.
作者姓名:闫毅  钟桂午  于杰  周风金  范少地
作者单位:解放军第451医院骨科,陕西,西安,710054
摘    要:目的:探讨带蒂椎板成形术重建胸腰椎后部结构的临床效果。方法:胸腰椎管狭窄患者56例.均施行带蒂胸腰椎板成形术。结果:术后经过l~5年随访.47例(83.9%)患者临床症状完全或大部消失.成形椎板愈合良好,椎管完整,9例(16.1%)完全截瘫。结论:带蒂椎板成形术符合脊柱的解剖生物特性.可替代现行的椎板切除术。

关 键 词:椎板  椎管成形术  重建  稳定性
文章编号:1001-2001(2003)04-0233-02
修稿时间:2003年1月14日

Design and Clinical Application of Vertebral Canal Plasty Using Pedicelar Vertebral Lamina
YAN Yi,ZHONG Gui-wu,YU Jie,et al..Design and Clinical Application of Vertebral Canal Plasty Using Pedicelar Vertebral Lamina[J].Chinese Journal of Rehabilitation,2003,18(4):233-234.
Authors:YAN Yi  ZHONG Gui-wu  YU Jie  
Institution:YAN Yi,ZHONG Gui-wu,YU Jie,et al.Department of Orthopaedic Surgery,the 451st Hospital of PLA,Xi'an 710054,China
Abstract:Objective: To discuss the clinical effect of reconstruction of posterior structure of the thoracic and lumbar vertebra by means of vertebral canal plasty with pedicelar vertebral lamina: Methods: 56 patients with thoracic and lumbar vertebral canal stricture were subjected to vertebral canal plasty with pedicelar vertebral lamina after posterior vertebral lamina ablate. Results: During a follow-up of 1 to 5 years, 9 patients (16.1 %) were paraplegic, and the remaining 47 (83.9 %) showed disappearance of clinical symptoms partially or completely. Meanwhile the vertebral lamina coalesced well and the vertebral canals were integrated as a result. Conclusion: Vertebral canal plasty with pedicelar vertebral lamina is compatible with spine's anatomic characteristics and is qualified to replace current vertebral lamina ablation.
Keywords:vertebral lamina  vertebral canal plasty  reconstruction  stability
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