摘要
目的探讨胸椎黄韧带骨化症的诊断及治疗方法。方法自2006年5月以来,采用磨钻于椎管侧壁磨透椎板及骨化黄韧带,再于棘突根部纵行磨透椎板,将椎板和骨化黄韧带分阶段切除,治疗胸椎黄韧带骨化症16例。结果本组术后随访1-5年,优4例,良8例,改善4例,优良率75%。结论影像学检查是胸椎黄韧带骨化症定位、定性诊断最重要的手段。手术是唯一有效的方法,该病一经确诊,应尽早行手术治疗。
Objective To investigate the diagnosis and treatment of the ossification of the thoracic ligament flavaum. Methods 16 patients with the ossification of the thoracic ligament flavaum were treated since May, 2006. We drilled the side wall of the spinal canal so that the vertebral plate and the ossified ligament flavaum were pierced. The we drilled the vertebral plate again through the root of the spinous process, and performed laminectomy and resection of the ossified ligament flavaum in different stages. Results All patients were followed up for 1 through 5 years. 4 patients showed excellent results; 8 showed good results, and 4 patients showed improvement. The rate of excellent and good results was 75%. Conclusions Radiological examination is the most important method for locating and diagnosing the ossification. Surgery is the only effective treatment. Once the patient is confirmed, surgery must be done as soon as possible.
出处
《中国骨肿瘤骨病》
2010年第4期317-319,共3页
Chinse Journal Of Bone Tumor And Bone Disease
关键词
胸椎黄韧带
骨化
椎板切除术
Thoracic ligament flavaum
Ossification
Laminectomy
