CAJ | 학술논문

目的：评估保留椎板及后韧带复合结构瓣回植的椎板成形术治疗椎间盘源性马尾综合征的临床疗效。方法选取2010年1月至2014年1月采用保留椎板及后韧带复合结构瓣回植手术治疗的25例椎间盘源性马尾综合征患者，评估其术后疗效及回植骨瓣愈合率。结果所有患者均获半年或以上随访，术后行Macnab疗效评定，优6例，良7例，可8例，差4例，回植骨瓣CT均显示骨性愈合。结论椎间盘源性马尾综合征是手术的绝对适应证，一经明确诊断必须尽早手术。保留椎板及后韧带复合结构瓣回植术式能充分显露椎管，彻底减压，使椎管重新成形，能有效的预防腰椎术后不稳、椎管再次狭窄等并发症。
목적：평고보류추판급후인대복합결구판회식적추판성형술치료추간반원성마미종합정적림상료효。방법선취2010년1월지2014년1월채용보류추판급후인대복합결구판회식수술치료적25례추간반원성마미종합정환자，평고기술후료효급회식골판유합솔。결과소유환자균획반년혹이상수방，술후행Macnab료효평정，우6례，량7례，가8례，차4례，회식골판CT균현시골성유합。결론추간반원성마미종합정시수술적절대괄응증，일경명학진단필수진조수술。보류추판급후인대복합결구판회식술식능충분현로추관，철저감압，사추관중신성형，능유효적예방요추술후불은、추관재차협착등병발증。
Objective To evaluate the clinical effects of laminoplasty, which involves regrafting the lamina and the compound structure of back ligament, in treating discogenic cauda equine syndrome. Methods Twen-ty-five patients with discogenic cauda equine syndrome who received the laminoplasty from Jan. 2010 to Jan. 2014 were selected. Efficacy evaluation were performed and radiographic healing rates were recorded according to data of these patients. Results All 25 patients were followed up for 6 months or more. According to the Macnab evaluation, there were 6 excellent recovered cases, 7 well recovered cases, 8 good recovered cases and 4 poor recovered cases. The postoperative CTs all showed bone union. Conclusion The laminoplasty is acceptable in treating discogenic cau-da equine syndrome. Once the syndrome is diagnosed, laminoplasty should be adopted as soon as possible. The lami-noplasty showes wider operation space and more thorough decompression, and can prevent postoperative complica-tions such as instability of lumbar spine and recurrence of spinal stenosis.