退行性腰椎管狭窄症椎板减压术后远期随访分析

被引：40

作者：

朱建平

于晓华

刘云鹏

孙铮

陈伟南

机构：

[1] 解放军医院骨科

来源：

中国脊柱脊髓杂志 | 2002年 / 01期

关键词：

腰椎; 椎管狭窄; 椎板切除; 远期随访;

D O I：

暂无

中图分类号：

R681.5 [脊柱及背疾病];

学科分类号：

摘要：

目的 :探讨退行性腰椎管狭窄症椎板切除减压术的远期疗效。方法 :5 6例患者术后随访 6年以上 ,根据JOA标准及影像学检查进行治疗前后评定。结果 :5 6例优良率占 6 0 7% ;6 2 5 %的患者日常活动无障碍。有 4例因减压节段有椎间盘突出而再次手术。两个以上椎板切除者和术前椎体间矢状旋转角 >10°者的疗效差。结论 :治疗腰椎管狭窄症可选择单纯椎板切除减压术 ,但术前矢状旋转角 >10°并需多个椎板切除者 ,减压的同时应采用器械固定或行脊柱融合术

引用

页码：55 / 57

页数：3

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