CAJ | 학술논문

[目的]分析腰椎管狭窄症患者腰痛的原因,探讨后路腰椎间融合术对腰椎管狭窄症腰痛的治疗效果.[方法]比较腰痛明显的腰椎管狭窄症患者和典型间歇性跛行症状的腰椎管狭窄症患者的年龄、术前腰椎失稳、生理前凸消失和退变性侧弯的发生率;分析后路腰椎间融合 (posterior lumbar interbody fusion, PLIF) 治疗腰椎管狭窄症患者下腰痛的随访结果.[结果]腰痛明显组的腰椎管狭窄症患者的平均年龄、腰椎节段性失稳率、腰椎前凸消失和退变性侧弯的比率高于间歇性跛行组的腰椎管狭窄症患者.PLIF术后腰痛症状明显减轻,JOA评分改善,退变性侧弯程度减轻,腰椎前凸恢复,椎间均达到骨性融合.[结论]PLIF可消除腰椎管狭窄症的多种腰痛病因,是治疗腰椎管狭窄症下腰痛的较好术式选择.
[목적]분석요추관협착증환자요통적원인,탐토후로요추간융합술대요추관협착증요통적치료효과.[방법]비교요통명현적요추관협착증환자화전형간헐성파행증상적요추관협착증환자적년령、술전요추실은、생리전철소실화퇴변성측만적발생솔;분석후로요추간융합 (posterior lumbar interbody fusion, PLIF) 치료요추관협착증환자하요통적수방결과.[결과]요통명현조적요추관협착증환자적평균년령、요추절단성실은솔、요추전철소실화퇴변성측만적비솔고우간헐성파행조적요추관협착증환자.PLIF술후요통증상명현감경,JOA평분개선,퇴변성측만정도감경,요추전철회복,추간균체도골성융합.[결론]PLIF가소제요추관협착증적다충요통병인,시치료요추관협착증하요통적교호술식선택.
[Objective] To analyze the causes of back pain in lumbar spinal stenosis and to investigate the therapeutic effect of posterior lumbar interbody fusion (PLIF) for lumbar stenosis with severe back pain. [Methods] The preoperative clinical data on patients with lumbar stenosis and severe back pain were compared with those of patients with typical neurological claudication. The follow - up results of lumbar stenosis with severe low back pain treated by PLIF were analyzed. [ Results] The average age and the rates of segmental instability, degenerative scoliosis, loss of lumbar lordosis in patients with lumbar stenosis and severe back pain were higher than those with lumbar stenosis and typical claudication. After PLIF surgery, the back pain was much relieved, the JOA score was improved , the severity of degenerative scoliosis was reduced, and the lumbar lordosis was restored. Bony fusion was achieved in all operated intervertebral spaces. [Conclusion] PLIF could eliminate various causes due to back pain of lumbar stenosis. PLIF is one of reasonable treatment options for lumbar stenosis with severe low back pain.