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胸椎黄韧带骨化症的手术治疗
引用本文:王浩,林欣.胸椎黄韧带骨化症的手术治疗[J].实用骨科杂志,2009,15(5):325-326.
作者姓名:王浩  林欣
作者单位:首都医科大学附属北京天坛医院,北京,100050
摘    要:目的探讨胸椎黄韧带骨化症的手术治疗方法。方法回顾分析2002年1月至2008年1月我院36例胸椎黄韧带骨化症手术治疗的病例。患者均采用胸椎管后壁切除术治疗。根据日本矫形外科学会(JOA,11分)评分标准进行术前和术后的疗效评价。结果36例患者获得6~72个月随访.平均随访时间19个月。术后平均改善率66.7%,优18例,良10例,改善8例.优良率77.8%。结论胸椎黄韧带骨化症可压迫脊髓出现神经系统症状,应尽早手术治疗.根据患者病情和影像学表现.明确胸椎黄韧带骨化部位和范围,采用胸椎管后壁切除术可获得满意的疗效。

关 键 词:胸椎  黄韧带骨化症  手术治疗

Surgical Treatment of Ossification of the Ligament Flavum of Thoracic Spine
WANG Hao,LIN Xin.Surgical Treatment of Ossification of the Ligament Flavum of Thoracic Spine[J].Journal of Practical Orthopedics,2009,15(5):325-326.
Authors:WANG Hao  LIN Xin
Institution:Beijing Tiantan Hospital;Capital Medical University;Beijing 100050;China
Abstract:Objective To discuss surgical approaches of ossification the ligament flavum of thoracic spine.Methods This study examined retrospectively the 36 patients with ossification the ligament flavum of thoracic spine from January 2002 to January 2008,which were treated operatively.All patients were treated with posterior total laminectomy for decompression of the spinal canal.According to criteria of Japan Orthopedic Association(JOA,11) score,the outcome of the preoperation and postoperation were evaluated.Result...
Keywords:thoracic spine  ossification of ligament flavum  surgical treatment  
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