氟骨症性椎管狭窄症的手术治疗

１９８７～１９９０年手术治疗氟骨症性椎管狭窄症１００例。包括颈椎９例，胸椎８例，腰、骶椎８３例。术后随访１～４年，复查结果：临床治愈９３例（９３％）：显效３例（３％）、有效３例（３％）、无效１例（１％）。手术原则是彻底减压，因氟骨症具有椎骨及其骨周组织严重退变、异化和骨化的临床病理特点，故在胸、腰椎减压术后，一般不影响其稳定性，在颈椎施行双开式或单开式椎管扩大加植骨融合术，则可收减压、稳定及防止或减少椎板间隙瘢痕狭窄的效果。

Surgical treatment for fluorosis associated with compression of spinal cord

Fluorosis might cause spinal canal stenosis, so as to produce the compression of spinal cord and cauda equina. From 1987 to 1990, 100 cases were treated surgically for cervical thoracic and lumbar stenosis. Different surgical measures were used in different patients. 9 cases recieved bilateral or unilateral open door method of laminoplasty and bone grafting fusion for fluorosis stenosis of the cervical spine. 8 cases were treated by en bloc hemiapophysic laminectomy for thoracic stenosis. Lumbal laminectomy and laminoplasty was performed in 83 cases. After an average follow up period of 1 - 4 years, the results were cias sifted as excellent result in 93 cases, good in 3 cases, fair in 3 cases and ineffective in 1 cases. The overall satisfactory result was 99. 0%. The authors advocated that surgical treatment should be carried out on fluorosis associated with compression of spinal cord and cauda equina. The aim of surgery is not only decompression of spinal cord prevention of their recurrence, but also stabilization of the weakened trunk as well.