Ofluoğlu A Ender, Karasu Aykut, Ekinci Bülent, Toplamaoğlu Halil
Department of Neurosurgery, Bakirkoy Hospital for Psychiatric and Neurological Diseases, Istanbul, Turkey.
Turk Neurosurg. 2007 Jul;17(3):178-82.
A retrospective study was conducted to assess the surgical outcomes of degenerative lumbar spinal stenosis. Thirty-four patients treated with decompressive surgery in Departments of III. Neurosurgery, Bakirkoy Hospital for Psychiatric and Neurological Diseases between 2000-2004 were reviewed. There were 13 males and 21 females. The average age was 57.5 (range 51 to 73 years old) and the average follow-up time was 23 (12- 60) mounts. The types of surgery consisted of standard single laminectomy. The surgical outcomes were assessed with dynamic radiographic investigation and more than 15 degrees were assessed as segmental instability. Average preoperative sagittal rotation angles were measured 3.5 degrees and average postoperative angles were measured 6.5 degrees. Only one patient (%3) with two level laminectomy and 17 degrees postoperative sagittal rotation angle showed a significantly poorer clinical outcome and accepted instable. This study showed that, treatment of degenerative lumbar stenosis can be safely and effectively performed with standard laminectomy alone, resulting no significant sagittal plane instability. We concluded that single decompressive surgery offers satisfactory results in degenerative lumbar stenosis.
进行了一项回顾性研究,以评估退行性腰椎管狭窄症的手术效果。回顾了2000年至2004年间在巴基尔科伊精神病和神经疾病医院神经外科接受减压手术治疗的34例患者。其中男性13例,女性21例。平均年龄为57.5岁(范围为51至73岁),平均随访时间为23(12 - 60)个月。手术类型包括标准单节段椎板切除术。通过动态影像学检查评估手术效果,超过15度被评估为节段性不稳定。术前矢状面旋转角平均测量为3.5度,术后平均角度测量为6.5度。仅1例(3%)接受两节段椎板切除术且术后矢状面旋转角为17度的患者临床效果明显较差,被认为不稳定。本研究表明,单纯标准椎板切除术可安全有效地治疗退行性腰椎管狭窄症,不会导致明显的矢状面不稳定。我们得出结论,单次减压手术在退行性腰椎管狭窄症中可提供满意的结果。