Brkić Harun, Jakupović Selma, Zornić Mirsad
Klinika za Hirurgiju, Univerzitetski Klinicki Centar Tuzla, Trnovac.
Med Arh. 2005;59(2):110-2.
In this study was analyzed 49 persons with lumbar lateral recess stenosis who were treated by operation. Resection articular facets was main principe for decompression root of nerve in lateral recess region. After operation we noticed sings of recovory during next sixth mounts. Many study were wrote results of treatment lumbar spinal stenosis. Results of treatment central, lateral, lateral recess or foramina stenos is, were not announced. In this study we were analyzed intensity recovery neurological sings sixth mounts after operation lumbar lateral recess stenosis.
Diagnosis was establish after neurological examines, functional X-ray and CT of lumbar spine et electromyography lower extremities. We analyzed, also, and patients opinion about them condition and treatments.
It was noticed good recovery of neurogenic claudication, paresthesic and pain in leg. Local pain in lumbar spine and damages sensibilities were significant presents after therapy. It was registered opinion of good recovery in high grade stenosis and stenois associated with disc protrusion.
Nerve root decompression in stenotic lateral recess of lumbar spine could achieved removing part of hypertrophy artricular facets. Good recovery was achieved after operation and rehabilitations treatment. Some grade disability could stayed because damages snezibilitics and local pain in lumbar spine.
本研究分析了49例接受手术治疗的腰椎侧隐窝狭窄患者。切除关节突是侧隐窝区域神经减压的主要原则。术后我们注意到在接下来的六个月内有恢复迹象。许多研究报道了腰椎管狭窄症的治疗结果。中央、侧方、侧隐窝或椎间孔狭窄症的治疗结果尚未公布。在本研究中，我们分析了腰椎侧隐窝狭窄症手术后六个月神经功能恢复的程度。
通过神经检查、腰椎功能X线和CT以及下肢肌电图进行诊断。我们还分析了患者对其病情和治疗的看法。
观察到神经源性间歇性跛行、腿部感觉异常和疼痛有良好恢复。腰椎局部疼痛和感觉损害在治疗后仍很明显。记录到高级别狭窄和与椎间盘突出相关的狭窄症患者恢复良好的情况。
腰椎狭窄侧隐窝神经根减压可通过切除部分肥大的关节突来实现。手术和康复治疗后取得了良好的恢复效果。由于腰椎感觉损害和局部疼痛，可能会残留一定程度的残疾。
