摘要
目的研究胸椎黄韧带骨化症（ｏｓｓｉｆｉｃａｔｉｏｎｏｆｌｉｇａｍｅｎｔｕｍｆｌａｖｕｍ，ＯＬＦ）诊断与手术治疗的特点。方法采用回顾性研究方法对手术治疗的胸椎ＯＬＦ的病例进行总结分析。结果总计７２例ＯＬＦ，其中局灶型１５例，连续型４１例，跳跃型１６例；３７．５％合并颈椎后纵韧带骨化症（ｏｓｓｉｆｉｃａｔｉｏｎｏｆｐｏｓｔｅｒｉｏｒｌｏｎｇｉｔｕｄｉｎａｌｌｉｇａｍｅｎｔ，ＯＰＬＬ），１９．４％合并胸椎ＯＰＬＬ，９．７％合并胸椎间盘突出，１．４％同时合并颈、胸、腰椎ＯＰＬＬ，９．７％合并腰椎间盘突出。结论上述特点是胸椎ＯＬＦ诊断及选择治疗方法时要特别考虑的因素。“揭盖式”椎管后壁切除减压是治疗本病安全、有效的手术方法。
ObjectiveTo
study characteristics of diagnosis and surgical treatment of ossification of ligamentum
flavum(OLF) in the thoracic spine. MethodsSeventytwo cases of OLF treated surgically from
1980 to 1997 were studied retrospectively. ResultsOLF was seen between two laminae in 15
cases, continuously between more than two laminae in 41 cases, or and at intervals in 16
cases. 37.5%of the cases were combined with ossification of posterior longitudinal
ligament(OPLL) of the cervical spine, 19.4%with OPLL of the thoracic spine, 9.7%with the
thoracic disc protrusion, and 1.4%with OPLL of the cervicothoraciclumbar spine, 9.7%with
lumbar disc protrusion.ConclusionAll of the above mentioned conditions should be considered
when a diagnosis and surgical choice were made. Removal of the posterior wall of the thoracic
spinal cannal with the use of the technique of cap uncoveringis a safe,convenient and effective
method for the surgical treatment of OLF.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1999年第4期197-200,共4页
Chinese Journal of Orthopaedics
关键词
胸椎
黄韧带骨化症
治疗
horacic vertebraeLigamentum
flavumOssification, heterotopicTreatment outcome
