CAJ | 학술논문

目的探讨一种新的后路椎板减压方式--腰椎下半椎板揭盖回植法的临床运用效果.方法 30例退行性腰椎疾病患者行后路手术,显露腰双侧椎板后在椎板脊近端大约5～6mm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减压、融合的手术操作,术毕将修正后的椎板覆盖原住再行固定.结果手术顺利、无神经损伤等并发症,6个月后复查,所有患者覆盖后的椎板愈合良好,30例中治愈23例,显效5例,有效2例,无效0例,JOA评分术后较术前明显改善(P<0.05).结论下半椎板揭盖回植技术安全有效,有利于术者进行彻底的神经减压、椎间融合手术操作,回植后后路结构保存.该技术是腰椎疾病后路手术中减压的良好方法.
목적 탐토일충신적후로추판감압방식--요추하반추판게개회식법적림상운용효과.방법 30례퇴행성요추질병환자행후로수술,현로요쌍측추판후재추판척근단대약5～6mm처용골도수직우척주적축선횡단추판,하반추판유리종이방편후속적감압、융합적수술조작,술필장수정후적추판복개원주재행고정.결과 수술순리、무신경손상등병발증,6개월후복사,소유환자복개후적추판유합량호,30례중치유23례,현효5례,유효2례,무효0례,JOA평분술후교술전명현개선(P<0.05).결론 하반추판게개회식기술안전유효,유리우술자진행철저적신경감압、추간융합수술조작,회식후후로결구보존.해기술시요추질병후로수술중감압적량호방법.
Objective To study the clinical outcomes of inferior half lamina uncover-recovered technique in posterior surgery of lumbar degenerative diseases. Methods 30 patients who suffered lumbar degenerative diseases were treated posterior operation. Inferior half lamina was intersected from 5-6 nun dis-tance to upper lamina ridge and dissociated, so it was convenient for decompression and intervertebral fusion. After that, the intersected lamina was recovered to its former position. Results The technique is applied safely and efficiently. No serious complication was oberversed. Over 6 months' follow-up, 27 patients were cured, 5 cases notable valid, 2 cases valid. And the JOA scores of post operation were improved significantly (P<0.05) . Conclusion This technique is safe and effective. It is beneficial for of nerve root decompression and intervertebral fusion and preserving posterior structures. The technique is a good decompression method in posterior operation of lumbar degeneration diseases.