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腰椎管狭窄症的扩大椎板成形术

Expansive laminoplasty for lumbar spinal stenosis.

作者信息

Tsuji H, Itoh T, Sekido H, Yamada H, Katoh Y, Makiyama N, Yamagami T

机构信息

Toyama Medical and Pharmaceutical University Hospital, Japan.

出版信息

Int Orthop. 1990;14(3):309-14. doi: 10.1007/BF00178765.

DOI:10.1007/BF00178765
PMID:2279841
Abstract

Expansive laminoplasty, a procedure used for cervical myelopathy, was carried out in 4 patients with degenerative lumbar spinal stenosis. The method was used in relatively young patients with severe low back and sciatic pain who had intraspinal ossification at multiple segments, with or without developmental spinal stenosis. The advantages of osteoplastic enlargement of the lumbar spinal canal with reinforcement of spinal stability are confirmed by our follow up of 2 to 5 1/2 years. The results were very satisfactory in each case. The indications and operative technique are described.

摘要

扩大椎板成形术是一种用于治疗颈椎脊髓病的手术,现应用于4例退行性腰椎管狭窄症患者。该方法用于相对年轻、患有严重腰腿痛和坐骨神经痛、多节段椎管内骨化且伴有或不伴有发育性椎管狭窄的患者。通过我们2至5年半的随访,证实了腰椎管骨塑性扩大并加强脊柱稳定性的优点。每例结果均非常令人满意。本文描述了其适应证及手术技术。

相似文献

1
Expansive laminoplasty for lumbar spinal stenosis.腰椎管狭窄症的扩大椎板成形术
Int Orthop. 1990;14(3):309-14. doi: 10.1007/BF00178765.
2
Degenerative lumbar spinal stenosis-results of expansive laminoplasty.
Int Orthop. 2008 Dec;32(6):805-8. doi: 10.1007/s00264-007-0415-9. Epub 2007 Jul 18.
3
Clinical and radiographic results of expansive lumbar laminoplasty in patients with spinal stenosis.腰椎管狭窄症患者扩大腰椎板成形术的临床和影像学结果。
J Bone Joint Surg Am. 2004 Aug;86(8):1698-703. doi: 10.2106/00004623-200408000-00013.
4
Clinical and radiographic results of expansive lumbar laminoplasty in patients with spinal stenosis.
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5
[Discussion of surgical indications for posterior expansive open-door laminoplasty extended to C1 level].[关于后路扩大开门式椎板成形术延伸至C1水平的手术适应证的讨论]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Oct;27(10):1214-20.
6
Surgical outcomes of modified lumbar spinous process-splitting laminectomy for lumbar spinal stenosis.改良腰椎棘突劈开椎板切除术治疗腰椎管狭窄症的手术疗效
J Neurosurg Spine. 2015 Apr;22(4):353-7. doi: 10.3171/2014.9.SPINE1457. Epub 2015 Jan 16.
7
Inverse laminoplasty for the treatment of lumbar spinal stenosis.
Spine (Phila Pa 1976). 2002 Jul 1;27(13):E316-20. doi: 10.1097/00007632-200207010-00021.
8
Results of expansive laminoplasty for lumbar spinal stenosis in active manual workers.
Spine (Phila Pa 1976). 1992 Mar;17(3 Suppl):S37-40. doi: 10.1097/00007632-199203001-00008.
9
[Short-term effectiveness of interlaminar lumbar instrumented fusion through a small incision for lumbar spinal stenosis].经小切口行腰椎椎间融合内固定术治疗腰椎管狭窄症的短期疗效
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Jun;26(6):703-7.
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Prospective analysis of surgical outcomes in patients undergoing decompressive laminectomy and posterior instrumentation for degenerative lumbar spinal stenosis.对因退行性腰椎管狭窄症接受减压性椎板切除术和后路内固定术患者手术结果的前瞻性分析。
Acta Orthop Traumatol Turc. 2010;44(3):235-40. doi: 10.3944/AOTT.2010.2278.

引用本文的文献

1
Evolving Role of Lumbar Decompression: A Narrative Review.腰椎减压术不断演变的作用:一篇叙述性综述。
Int J Spine Surg. 2025 Mar 6;19(1):117-128. doi: 10.14444/8702.
2
Clinical Outcomes and Postoperative Radiographic Assessment of Osteoplastic Hemilaminectomy in the Treatment of Lumbar Foraminal Nerve Root Compression.骨成形半椎板切除术治疗腰椎椎间孔神经根受压的临床疗效及术后影像学评估
Spine Surg Relat Res. 2021 Feb 9;5(6):352-358. doi: 10.22603/ssrr.2020-0203. eCollection 2021.
3
Lumbar stenosis: clinical case.

本文引用的文献

1
Laminoplasty for patients with compressive myelopathy due to so-called spinal canal stenosis in cervical and thoracic regions.针对因所谓的颈胸段椎管狭窄导致脊髓病受压的患者进行椎板成形术。
Spine (Phila Pa 1976). 1982 Jan-Feb;7(1):28-34. doi: 10.1097/00007632-198200710-00002.
2
Redundant nerve roots in patients with degenerative lumbar spinal stenosis.退行性腰椎管狭窄症患者的冗余神经根。
Spine (Phila Pa 1976). 1985 Jan-Feb;10(1):72-82. doi: 10.1097/00007632-198501000-00012.
3
Technical improvements and results of laminoplasty for compressive myelopathy in the cervical spine.
Rev Bras Ortop. 2014 May 3;49(4):405-8. doi: 10.1016/j.rboe.2014.04.014. eCollection 2014 Jul-Aug.
4
[Enlargement in managment of lumbar spinal stenosis].[腰椎管狭窄症治疗中的扩大减压]
Eur J Orthop Surg Traumatol. 1996 May;6(2):129-34. doi: 10.1007/BF00568331.
5
Spinaplasty following lumbar laminectomy for multilevel lumbar spinal stenosis to prevent iatrogenic instability.腰椎板切除术后行棘突成形术治疗多节段腰椎管狭窄症以预防医源性不稳定。
Indian J Orthop. 2011 Sep;45(5):396-403. doi: 10.4103/0019-5413.83140.
6
Expansive lumbar laminoplasty for degenerative spinal stenosis in patients below 70 years of age.70岁以下患者退行性腰椎管狭窄症的扩大腰椎板成形术
Eur Spine J. 1997;6(3):191-6. doi: 10.1007/BF01301435.
7
Spinous process-plasty following lumbar laminectomy as a contributing factor to spine stability.腰椎椎板切除术后棘突成形术作为脊柱稳定性的一个促成因素。
Arch Orthop Trauma Surg. 1996;115(3-4):211-5. doi: 10.1007/BF00434556.
颈椎管狭窄症后路单开门椎管扩大成形术的技术改进及疗效分析
Spine (Phila Pa 1976). 1985 Oct;10(8):729-36. doi: 10.1097/00007632-198510000-00007.
4
[Clinical studies on the significance of en bloc laminoplasty for cervical compressive myelopathy].
Nihon Seikeigeka Gakkai Zasshi. 1986 Nov;60(11):1109-23.