CAJ | 학술논문

目的探讨腰椎管狭窄手术治疗的临床效果.方法前瞻性分析手术治疗160例腰椎管狭窄的患者.男性87例,女性73例,平均年龄51岁(18～78岁).平均病程5年(1个月～36年).全部病例均采用腰椎管减压、椎弓根固定、椎间隙植骨融合.随访时间3个月～5年(平均34个月).结果按COA标准评定,优:120例(75%);良:31例(19.4%);一般:9例(5.6%);优良率为94.4%.结论手术干预是治疗重症或进行性加重的腰椎管狭窄的有效手段.后路彻底减压和可靠的脊柱稳定,可取得满意的临床治疗效果.
목적 탐토요추관협착수술치료적림상효과.방법 전첨성분석수술치료160례요추관협착적환자.남성87례,녀성73례,평균년령51세(18～78세).평균병정5년(1개월～36년).전부병례균채용요추관감압、추궁근고정、추간극식골융합.수방시간3개월～5년(평균34개월).결과 안COA표준평정,우:120례(75%);량:31례(19.4%);일반:9례(5.6%);우량솔위94.4%.결론 수술간예시치료중증혹진행성가중적요추관협착적유효수단.후로철저감압화가고적척주은정,가취득만의적림상치료효과.
Objective To investigate the surgical outcome of lumbar spinal canal stenosis. Methods Forward analysis of 160 cases of the patients with lumbar spinal canal stenosis getting operative treament was performed. 87 cases were male and 73 case were female. The average age was 51 years old (18 ～ 78years old). The average course of deseases was 5 years (1 month ～ 36years). All of the cases used lumbar spinal canal decompression combined with pedicle screws fixation and posterolateral bone graft. All cases had a follow - up of 3 months to 5 years (mean 34 months). Results The (COA) recovery rate among the tolal patients was cassified as exellent in 120 ca-ses , good in 31 cases , fair in 7 cases. The excellent and good rate was 94.4%. Conclusion The operative intervention was an effective method for patients with severe or progressive clinical lumbar spinal canal stenosis. The procedure in decompressed compretely through pos-terior approach and the instability of cerrical apinein had the satisfactory clinical outcome.