摘要
目的:探讨胸椎黄韧带骨化症(OLF)的诊断与手术治疗方法。方法:回顾性总结14例患者的外科治疗过程,采用半关节突全椎板整块切除原位回植法,术中体感诱发电位监护。结果:术后全部病例随访半年以上,平均21个月。优7例,良4例,改善3例,优良率为78.5%,总有效率92.8%,无严重并发症发生。结论:半关节突全椎板整块切除原位回植法是治疗OLF的一种有效术式。
Objective:To investigate the diagnosis and the surgical method of ossification of ligamentum flavum (OLF)in the thoracic spine.Method:The clinical manifestation,imaging feature,surgical methods and clinical results of 14 cases of OLF were respectively studied.All patients were operated with en bloc hemi-articular process laminectomy and retransplantation.SSEps monitor was applied during the operation.Result:All patients were followed up for more than half year with an average of 21 months.Seven patients were graded as excellent,while 4 cases were good and 3 cases were fair after the operation.Excellent and good rate was 78.5%,efficient rate was 92.8%.No serious complication occured.Conclusion:En bloc hemi-articular process laminectomy and retransplantation is an effective approach for the patients of OLF.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第9期662-663,共2页
Orthopedic Journal of China
关键词
胸椎管
黄韧带
骨化
诊断
手术治疗
Thoracic verebral canal
Ligamentum flavum
Ossification
Diagnosis
Operative treatment
