腰椎间盘突出症并发小关节囊部黄韧带骨化12例报告

目的：报告１２例腰椎间盘突出症并发小关节囊部黄韧带骨化，旨在提高临床上对于该病的认识以及探讨对其的治疗方法。方法：通过拍摄腰椎Ｘ线片及腰部ＣＴ检查，作出初步诊断。采用手术方法治疗。术中摘除突出的椎间盘，同时彻底切除肥厚骨化的黄韧带，小关节内侧可作部分切除。结果：按照日本Ｎ．Ｎａｋａｎａ和Ｔ．Ｎａｋａｎａ腰背痛手术评定标准，优５例，良６例，可１例。结论：该病病理基础为退行性变。黄韧带劳损导致骨化；充分认识本病对治疗腰腿痛有明显的临床意义；治疗应及早手术为宜。

Prolapse of Lumbar Intervetebral Disc Combined with Ossification of Ligamentum Flavum at Capsular Portion of Facet Joint A Report of 12 Cases

Aim:Twelve patients with prolapse of lumbar intervetebral disc combined with ossification of ligamentum flavum at capsular portion of facet joint were reported for the purpose of improving the recognition of this entity in climical practice and discussing the treatment methods.Methods:The original diagnoses were made through X ray and CT and the patients were treated surgically.The protruded disc was excised,the ossified ligamentum flavum was cut cleatly and the medial sied of facet joint was cut partially.Results:According to the assessing standard of lumbago by Japanese N.Nalana and T.Nakana,5 cases were excellent,6 good,1 fair.Conclusions:The pathological basis of this entity is degressive changes.The strain of ligamentum flavum results in ossification.Full recognition of this entity is very important in the management of back and leg pain.Surgical intervention should carry out as soon as possible.