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椎管扩大成形术加椎板原位回植治疗老年腰椎管狭窄症
引用本文:王鑫,黄朝梁,陈世荣,邓忠良,柯珍勇,陈富.椎管扩大成形术加椎板原位回植治疗老年腰椎管狭窄症[J].临床骨科杂志,2006,9(1):18-20.
作者姓名:王鑫  黄朝梁  陈世荣  邓忠良  柯珍勇  陈富
作者单位:重庆医科大学第二医院骨科,重庆,400010;重庆医科大学第二医院骨科,重庆,400010;重庆医科大学第二医院骨科,重庆,400010;重庆医科大学第二医院骨科,重庆,400010;重庆医科大学第二医院骨科,重庆,400010;重庆医科大学第二医院骨科,重庆,400010
摘    要:目的探讨椎管扩大成形术椎板原位回植治疗腰椎管狭窄症的临床疗效。方法对41例老年性腰椎管狭窄患者行椎管扩大成形术加椎板原位回植术。结果41例均获随访,时间3~15个月。依据JOA下腰痛评分标准,治愈9例,显效25例,有效6例,无效1例。结论该术式可基本保证椎管的解剖结构以维持其稳定性,并可有效扩大椎管容积、防止术后瘢痕增生压迫硬膜。

关 键 词:腰椎管狭窄  老年人  椎管成形术
文章编号:1008-0287(2006)01-0018-03
收稿时间:2005-10-06
修稿时间:2005年10月6日

Vertebral canaloplasty and in situ laminae replantation for the treatment of lumbar spinal stenosis in the aged
WANG Xin,HUANG Chao-liang,CHEN Shi-rong,DENG Zhong-liang,KE Zhen-yong,CHEN Fu.Vertebral canaloplasty and in situ laminae replantation for the treatment of lumbar spinal stenosis in the aged[J].Journal of Clinical Orthopaedics,2006,9(1):18-20.
Authors:WANG Xin  HUANG Chao-liang  CHEN Shi-rong  DENG Zhong-liang  KE Zhen-yong  CHEN Fu
Institution:Dept of Orthopaedics, the 2nd Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Abstract:Objective To evaluate the effect of the treament of lumbar spinal stenosis with vertebral canaloplasty and in situ laminae replantation.Methods 41 cases of elder patients were treated with this method for lumbar spinal sternosis.Results All the patients were followed up for 3~15 months.The clinical results were evaluated according to JOA low back pain standard,9 cases were rated as excellent,25 good,6 fair and 1 poor.Conclusions Spinal canaloplasty by laminectomy and in situ laminae replantation can preserve the anatomic structure and stability of spine,which can decrease adherent rate of scar dura mater and obviously increase the area of the spinal cana1.
Keywords:lumbar spinal canal stenosis  aged  vertebral canaloplasty
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