Selecki B R
Aust N Z J Surg. 1978 Oct;48(5):523-8. doi: 10.1111/j.1445-2197.1978.tb00036.x.
The diagnostic recognition of acquired stenotic conditions in the lumbar spinal canal occurring from the fifth to the eighth decades of life had led to a significant change in surgical techniques during the last ten years. This communication presents a comparison of surgical techniques used by the author in two consecutive series of patients operated for low back, lumbosciatic, and spondylotic caudal disability syndromes during the period 1965 to 1969 inclusive (100 patients) and 1976 and 1977 (105 patients). Interlaminar discectomy was carried out in 88%, and laminectomy with spinal nerve nerolysis in 12%, of the 1965 - 1969 series. Discectomy by interlaminar approach was carried out in only 10% of the 1976 - 1977 series; all other patients had laminectomies with or without discectomies. Early follow-up results in the recent series indicate a significant (20%) increase in the number of patients who resumed their previous occupations as compared with those in the previous series.
对50到80岁人群中出现的腰椎管后天狭窄病症的诊断认知，在过去十年间已导致手术技术发生了重大变革。本报告呈现了作者在1965年至1969年（含100例患者）以及1976年和1977年（105例患者）两个连续系列中，针对腰背痛、腰骶坐骨神经痛以及脊椎性尾部功能障碍综合征患者所采用的手术技术对比。在1965 - 1969年的系列中，88%的患者接受了椎板间椎间盘切除术，12%的患者接受了椎板切除术并伴有脊神经松解术。在1976 - 1977年的系列中，仅有10%的患者通过椎板间入路进行了椎间盘切除术；所有其他患者均接受了椎板切除术，部分伴有或不伴有椎间盘切除术。近期系列的早期随访结果表明，与前一系列相比，恢复原工作的患者数量显著增加（20%）。
