老年退行性腰椎管狭窄症患者的手术疗效分析

目的:探讨老年退行性腰椎管狭窄症患者手术耐受性及手术疗效。方法:回顾性分析2004年1月-2007年10月年在我院骨科行手术治疗的60岁以上退行性腰椎管狭窄症患者37例,其中16例行单或多节段椎板切除减压术,21例采用椎板减压融合内固定术。结果:无围手术期死亡病例,出现并发症16例次,经对症及内科联合处理后好转。Oswestry评分从术前(61.02±6.49)分改善至(26.91±7.91)分,主观满意度达83.8%;单纯减压组与内固定组比较,评分无显著差异。结论:选择适当的手术方式,老年退行性腰椎管狭窄症患者在积极控制并存疾病的基础上,均可获得较满意的疗效。

Surgical Outcomes of the Elderly with Degenerative Lumbar Spinal Canal Stenosis

Objective: To investigate the outcomes of the elderly with degenerative lumbar spinal canal stenosis treated with decompressional operation.Methods: From January 2004 to October 2007,a retrospective review of 37 cases with degenerative lumbar canal stenosis treated surgically was performed.Of all patients,16 cases were treated with simple surgical decompression,21 cases were treated with posterior decompression combined with internal fixation and fusion.Results: No death cases occurred during perioperation.Sixteen cases had complications which were improved with non-surgical treatment.Oswestry scores improved from 61.02±6.49 to 26.91±7.91 after operation,and 83.8% of the patients were satisfied with the results of the surgery.There was no significant difference between the group treated with decompressive laminectomy and the group treated with internal fixation and fusion.Conclusion: With the proper operation modus and after controlling concomitant diseases,the surgical treatment could guarantee the satisfactory therapeutic effect in the elderly.