首页|后路椎板开窗减压手术方式治疗不合并腰椎不稳老年退行性腰椎滑脱症的疗效分析

后路椎板开窗减压手术方式治疗不合并腰椎不稳老年退行性腰椎滑脱症的疗效分析

Clinical analysis of posterior lumbar canal decompression in aged Degenerative Spondylolisthesis without lumbar instability

扫码查看
目的:观察后路椎板开窗减压手术治疗稳定性老年退行性腰椎滑脱症的中远期疗效。方法:49例退行性退行性腰椎滑脱症患者根据年龄分为A和B两组,采用后路椎板开窗减压术方法。所有患者未做融合及内固定术。采用日本骨科协会的评分系统(JOA评分)结合腰椎正侧位+动力位X线片所见,制定手术疗效判定标准。结果:随访18个月~66个月,平均36.4个月。A组,88%病人获得满意结果;B组,81%病人获得满意结果。随访未发现手术节段失稳者。结论:后路椎板开窗减压手术方式治疗不合并腰椎不稳的退行性腰椎滑脱症可取得良好的中远期疗效。
Objective:To observe the medium-long term clinical effects of posterior lumbar canal decompression in aged Degenerative Spondylolisthesis. Method:The study involved 49 patients with aged Degenerative Spondylolisthesis whom were divided 2 groups as A and B according to their age and were received posterior lumbar canal decompression without internal fixation and fusion. The JOA score and The examination of X ray in the lateral and motive view of lumbar spine was used to evaluate the clinical effects. Result:Al patients were fol owed-up for 18 months to 66 months (average , 36.4 months) , which showed the satisfaction percentage was 88%in group A and 81% in group B. There were not any lumbar instability in any patient at final fol ow up. Conclusion: Lumbar canal decompression could improve the clinical outcome of aged degenerative spondylolisthesis without lumbar instability.

aged degenerative spondylolisthesisdegenerative lumbar instabilityposterior lumbar canal decompression

沙吾提江卡斯木、张玉坤、胡永胜、李磊、周纲、高小亮、阿布都乃比、黄卫民

展开 >

新疆医科大学第六附属医院脊柱外科 新疆 乌鲁木齐 830002

老年退行性腰椎滑脱症 退行性腰椎不稳症 后路椎板开窗减压术

2011211A044

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(8)
  • 10