摘要
胸椎管狭窄症( TSS)是一种以下肢及躯干麻木、行走困难、括约肌功能障碍为主要表现的疾病〔1〕,目前发病机制尚不完全清楚〔2〕,其主要由黄韧带骨化( OLF)和后纵韧带骨化( OPLL)引起,OPLL多见于上胸椎而OLF多发于下胸椎〔3〕,这表明可能与机械应力有关〔1〕。目前手术仍是唯一有效的治疗方式〔4〕, Sanghvi等〔5〕研究指示术前症状持续时间短的患者早期手术术后具有良好的预后,所以早期诊断以后应尽早手术治疗。
出处
《中国老年学杂志》
CAS
CSCD
北大核心
2014年第9期2613-2615,共3页
Chinese Journal of Gerontology
参考文献9
-
1Masashi Yamazaki,Makondo Mochizuki,Yoshikazu Ikeda,Tomonori Sodeyama,Akihiko Okawa,Masao Koda,Hideshige Moriya.Clinical Results of Surgery for Thoracic Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: Operative Indication of Posterior Decompression With Instrumented Fusion[J].Spine.2006(13)
-
2Yoshiyasu Fujimaki,Norio Kawahara,Katsuro Tomita,Hideki Murakami,Yasuhiro Ueda.How Many Ligations of Bilateral Segmental Arteries Cause Ischemic Spinal Cord Dysfunction? An Experimental Study Using a Dog Model[J].Spine.2006(21)
-
3Fa-Jing Liu,Yi Chai,Yong Shen,Jia-Xin Xu,Wei Du,Peng Zhang.Posterior decompression with transforaminal interbody fusion for thoracic myelopathy due to ossification of the posterior longitudinal ligament and the ligamentum flavum at the same level[J].Journal of Clinical Neuroscience.2012
-
4Zhong Yang,Yuan Xue,Chao Zhang,Qin Dai,HuiFang Zhou.Surgical treatment of ossification of the ligamentum flavum associated with dural ossification in the thoracic spine[J].Journal of Clinical Neuroscience.2012
-
5K. Ikuta,K. Tarukado,H. Senba,T. Kitamura,N. Komiya,Y. Fukutoku,S. Shidahara.Decompression Procedure using a Microendoscopic Technique for Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum[J].Minim Invasive Neurosurg (/).2011(05/06)
-
6Masahiko Takahata,Manabu Ito,Kuniyoshi Abumi,Yoshihisa Kotani,Hideki Sudo,Akio Minami.Clinical Results and Complications of Circumferential Spinal Cord Decompression Through a Single Posterior Approach for Thoracic Myelopathy Caused by Ossification of Posterior Longitudinal Ligament[J].Spine.2008(11)
-
7Xiao-Qing Chen,Hui-Lin Yang,Gen-Lin Wang,Yong Gu,Wen-Ming Pan,Ren-Bin Dong,Zhi-Jie Qiu,Ji-Bin Wu,Xin Mei.Surgery for thoracic myelopathy caused by ossification of the ligamentum flavum[J].Journal of Clinical Neuroscience.2009(10)
-
8Jiong Jiong Guo,Keith D. K. Luk,Jaro Karppinen,Huilin Yang,Kenneth M. C. Cheung.Prevalence, Distribution, and Morphology of Ossification of the Ligamentum Flavum: A Population Study of One Thousand Seven Hundred Thirty-Six Magnetic Resonance Imaging Scans[J].Spine.2010(1)
-
9Chenglin Yang,Zhenggang Bi,Chunjiang Fu,Zhenyu Zhang.A Modified Decompression Surgery for Thoracic Myelopathy Caused by Ossification of Posterior Longitudinal Ligament: A Case Report and Literature Review[J].Spine.2010(13)
同被引文献37
-
1安贵峰,刘军.老年胸椎黄韧带骨化症患者减压钉-棒内固定术效果[J].中国老年学杂志,2014,34(11):3179-3180. 被引量:2
-
2郝永宏,邓树才,马毅,李建江,贾占华.大剂量甲基强的松龙在胸椎管狭窄症围手术期应用的效果观察[J].中国脊柱脊髓杂志,2007,17(3):194-196. 被引量:8
-
3Sagar H,Fernandez-Madrid F,Kupsky W.Rare cause of thoracic myelopathy:ossifiedligamentumflavum[J].J ClinRheumatol,2010,16(7):326-329.
-
4He B,Yan L,Xu Z,et al.Treatment strategies for the surgical complications of thoracic spinal stenosis:a retrospective analysis of two hundred and eighty three cases[J].Int Orthop,2014,38(1):117-122.
-
5Taher F,Lebl DR,Cammisa FP,et al.Transient neurological deficit following midthoracic decompression for severe stenosis:a series of three cases[J].Eur Spine J,2013,22(9):2057-2061.
-
6Bracken MB,Shepard MJ,Holford TR,et al.Administration of methylprednisolone for 24 or 48 hours or tirilazadmesylate for 48 hours in the treatment of acute spinal cord injury:results of the third national acute spinal cord Injury study[J].JAMA,1997,277(20):1597-1604.
-
7Xiong L,Zeng QY,Jinkins JR.CT and MRI characteristics of ossification of the ligamentaflava in the thoracic spine[J].Eur Radiol,2001,11(9):1798-802.
-
8Jeong W J, Kim JW, Seo DK, et al. Efficiency of ligamentotaxis using PLL for thoracic and lumbar burst fractures in the load - sharing clas- sification [ J ]. Orthopedics, 2013, 36 ( 5 ) :567 - 574.
-
9Schmidt RF, Goldstein IM, Liu JK. Ossified ligamentum flavum cau- sing spinal cord compression in a patient with acromegaly [ J]. J Clin Neurosci, 2013, 20(11) :1599 - 1603.
-
10Montala N, Juanola X, Collantes E, et al. Prevalence of vertebral fractures by semiautomated morphometry in patients with ankylosing spondylitis[ J]. J Rheumatol, 2011, 38(5 ) :893 -897.
引证文献5
-
1张超,李天鹏,杨召,李宏键,雷云坤,赵毅,刘伟.“揭盖术”加椎弓根内固定术治疗胸椎管狭窄症临床研究[J].中国矫形外科杂志,2015,23(19):1813-1816. 被引量:2
-
2菅志飞,孙维,曹洪,杨华清.曲安奈德混悬剂辅助治疗老年多节段胸椎骨折后韧带骨化症的临床效果[J].医学研究杂志,2015,44(12):98-101. 被引量:1
-
3孙刚.经后路全椎板切除椎管减压联合内固定术治疗胸椎管狭窄症临床效果观察[J].中西医结合心血管病电子杂志,2017,5(18):16-17.
-
4宋宝东.经后路全椎板切除椎管减压联合内固定术治疗胸椎管狭窄症的临床疗效分析[J].中西医结合心血管病电子杂志,2017,5(22):152-152.
-
5易红蕾,陈虎,陈兴捷,王昕辉,章凯.椎体后纵韧带骨化物复合体前移治疗重度胸椎管狭窄症[J].中国矫形外科杂志,2020,28(15):1422-1425. 被引量:2
二级引证文献5
-
1臧全金,梁辉,杨平林,李浩鹏,贺西京.经关节突入路减压固定治疗多节段黄韧带骨化型胸椎管狭窄症的效果[J].中国医药导报,2017,14(9):86-89. 被引量:1
-
2苑乾,魏运栋,王少锋,彭祥平,郝占元.后路揭盖式减压术治疗胸椎黄韧带骨化症的预后影响因素[J].中华实用诊断与治疗杂志,2018,32(9):858-861. 被引量:5
-
3王玲娟,刘艳武,董婷婷,胡学昱,冯大鹏.老年胸腰椎骨折术后早期切口感染病原菌情况及危险因素分析[J].河北医药,2020,42(16):2493-2496. 被引量:19
-
4邝满源,谭健韶,杨林,李世渊,杨健齐,关宏业,曾明,李家颖.远隔节段跳跃型胸椎管狭窄症一期手术与分期手术效果观察[J].中国现代药物应用,2021,15(11):31-33.
-
5邵哲,郭润栋.超声骨刀联合高速磨钻对胸椎管狭窄症患者的疗效[J].深圳中西医结合杂志,2022,32(14):60-62.
-
1刘殿鹏,刘新河.胸椎重症黄韧带骨化9例手术体会[J].人民军医,1996,39(7):21-22.
-
2梁斌.颈椎后纵韧带骨化的诊治[J].广西医学,1998,20(5):845-848.
-
3郭新军,朱振军,程田.颈椎病合并颈椎后纵韧带骨化症的手术治疗(附36例报告)[J].山东医药,2009,49(14):53-54.
-
4魏运栋,倪斌,贾连顺.胸椎间盘突出伴黄韧带骨化手术致脊髓损伤(附1例报告)[J].中国矫形外科杂志,1996,3(3):190-190.
-
5王欣,顾洁夫,徐振华,平安松.胸椎黄韧带骨化症误诊分析[J].临床外科杂志,1999,7(6):363-363.
-
6高延征,铁钰,李启煌.颈椎后纵韧带骨化症及其外科治疗[J].中原医刊,1996,23(6):9-10. 被引量:1
-
7李继海,杨绍春,王可良.氟骨症患者黄韧带骨化的手术治疗[J].中国地方病防治,2000,15(1):49-50.
-
8刘北南,韩铭,袁宏,田鸿来.肩锁关节脱位的手术治疗进展[J].中国矫形外科杂志,2000,7(5):476-477. 被引量:20
-
9杨忠广.前列腺增生症的手术治疗进展[J].中国乡村医生,2000,15(7):23-24. 被引量:1
-
10杜全印,王爱民,郭庆山.腰椎间盘突出症手术治疗进展[J].中国矫形外科杂志,2000,7(11):1105-1107. 被引量:6