CAJ | 학술논문

目的分析研究青少年腰椎间盘突出症的病因及治疗.方法对9例青少年腰椎间盘突出症患者行小切口单侧/双侧开窗减压、髓核摘除术.结果 9例均获得随访,随访时间12～72个月,平均38个月,7例腰痛及下肢放射痛完全消失;2例劳累后有轻微症状,休息后可缓解.结论外伤所致骺离骨折为青少年腰椎间盘突出重要病因,直腿抬高试验阳性为重要体征,腰椎CT可确诊.对于保守治疗无效或症状明显、CT证实硬膜囊及神经根明显受压者,应积极手术治疗.
목적 분석연구청소년요추간반돌출증적병인급치료.방법 대9례청소년요추간반돌출증환자행소절구단측/쌍측개창감압、수핵적제술.결과 9례균획득수방,수방시간12～72개월,평균38개월,7례요통급하지방사통완전소실;2례로루후유경미증상,휴식후가완해.결론 외상소치후리골절위청소년요추간반돌출중요병인,직퇴태고시험양성위중요체정,요추CT가학진.대우보수치료무효혹증상명현、CT증실경막낭급신경근명현수압자,응적겁수술치료.
Objective To study the etiology and treatments of lumbar disc herniations (LDH) in adolescents. Method Nine patients who had suffered from LDH in adolescents were operated on by mini-incision unilataral/bilataral decompression by fenestration and nucleus pulposus extraction. Result All the patients were followed up for 1 to 6 years(mean 3 years and 2 months). In 7 cases the pain on lumber and leg completely disappeared, another two cases suffered from little pain when they were tired, relieved after resting. Conclusion Epiphyseal separation caused by trauma is the major etiopathogenisis of adolescent LDH. Straight-leg raising test positive is an important physical sign.CT can make final diagnosis. For the cases with severe symptoms and the dural sac and nerve root are apparent compressed by CT view and no results by conservative treatment, active surgery is needed.