首页|腰椎下半椎板揭盖-覆盖术在腰椎退变疾病手术中的应用研究

腰椎下半椎板揭盖-覆盖术在腰椎退变疾病手术中的应用研究

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目的:探讨一种新的后路椎板减压方式--腰椎下半椎板揭盖-覆盖式减压术式的临床效果.方法:退行性腰椎疾病患者120例接受此术式,后路显露腰双侧椎板后在椎板脊近端大约5~6 mm处用骨刀垂直于脊柱的轴线横断椎板,下半椎板游离从而方便后续的手术操作,术毕将修正后的椎板覆盖原位再行固定.结果:手术顺利、术中无神经损伤,4mo后复查,所有患者覆盖后的椎板愈合良好.获半年以上随访120例中,治愈97例,显效15例,有效8例,无效0例.术后JOA腰椎评分较术前明显改善(P<0.05).结论:该术式安全有效,下半椎板揭盖后,有利于术者有效、彻底地进行神经根减压,椎间融合和椎体复位等手术操作.
Clinical application of lower half laminectomy reimplanted in lumbar cataplasia surgery
AIM: To explore and design less time-consuming approach in posterior lumbar approach. METHODS: Operation was performed in 120 cases. Vertebral plate was intersected from 5-6 mm distance to vertebral plate ridge after exposure of two sides of lumbar vertebral plate. Inferior vertebral plate was dissociated for the next operative procedure. The intersected vertebral plates were recovered to the original position. RESULTS: Lami-nograftomy was successfully performed in the 120 lumbar degenerative cases. Six months follow-up showed that 97 patients were completely recovered,15 cases with prominently good results,and 8 cases with good results. The JOA scores of post-operation were enhanced significantly (P < 0. 05). CONCLUSION: This technique is safe and effective for nerve root decompression,inter-vertebra confluens and centrum reposition.

lumbar vertebraeoverlaid vertebral plateinternal fixationpedicel screw

肖丹、廖俊星、柯雨洪、王义生

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广东省人民医院,广东省医学科学院骨外科,广东,广州,510080

腰椎 椎板覆盖 内固定 椎弓根螺钉

广东省自然科学基金

7001112

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(7)
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