摘要
目的 探讨老年患者骨化性腰椎管狭窄症临床特点及手术的疗效。方法 对 5 6例手术患者诊治结果进行回顾性分析。结果 腰椎间盘突出骨化、小关节突内聚增生和黄韧带肥厚骨化是造成狭窄的主要原因 ,2个以上致窄因素共同作用的临床征象较为普遍。 5 3例获随访 ,随访时间 4～ 2 4个月 ,平均 10个月。优34例 ,良 14例 ,优良率 90 6 %。结论 老年骨化性腰椎管狭窄有其特殊的临床特点 ,手术方式应因人而异 ,彻底减压兼顾保持脊柱稳定性的术式很重要。
Objective To investigate clinical characteristic and curative effect of surgical treatment for senile ossification lumbar spinal stenosis. Methods The results of the surgical treatment of 56 cases were analysed retrospectively. Results The main causes for stenosis were lumbar disc herniation(LDH) and ossification, small articulars cohesion and hyperplasia, yellow ligament hypertrophy and ossification. Narrow led by over 2 causes was common. 53 cases were followed up for 4～24 months, 10 on average. The resuts were excellent in 34 cases and good in 14. The excellent and good rate of surgical treatment was 90.6%. Conclusion The senile ossification lumbar spinal stenosis has its specific clinical characteristics. The surgical treatment should be given accordingly. It is very important to get both complete decompression and retain spinal stability.
出处
《临床骨科杂志》
2004年第2期181-183,共3页
Journal of Clinical Orthopaedics
关键词
腰椎管狭窄
老年人
lumbar spinal stenosis
aged
