Asil Kiyasettin, Yaldiz Can
From the Department of Radiology (KA); and Department of Neurosurgery (CY), Sakarya University Training and Research Hospital, Sakarya, Turkey.
Medicine (Baltimore). 2016 Apr;95(17):e3235. doi: 10.1097/MD.0000000000003235.
Degenerative disc disease and spinal stenosis lead to various symptoms. Degeneration of facet joints is added to this degenerative process with aging.Seventy-four patients who were admitted to the Spinal Column Outpatient Clinic of the Neurosurgery Department with a diagnosis of degenerative narrow spinal canal and lumbar spondylolisthesis between 2011 and 2013 and who underwent surgery were included in the study.Our study was conducted with 74 patients of whom 73.0% (n = 54) were female and 27.0% (n = 20) were male. Mean age was 54.86 ± 7.87 years (range 34-74).Although we did not detect a difference between the two surgical methods with regard to clinical improvement, transforaminal lumbar interbody fusion (TLIF) is preferred due to radiological advantages observed one year later, ease of application, and the development of fewer complications.
椎间盘退变疾病和椎管狭窄会引发多种症状。随着年龄增长,小关节退变也会加入到这一退变过程中。本研究纳入了2011年至2013年间因诊断为退变性椎管狭窄和腰椎滑脱而入住神经外科脊柱门诊并接受手术的74例患者。我们的研究对象为74例患者,其中73.0%(n = 54)为女性,27.0%(n = 20)为男性。平均年龄为54.86 ± 7.87岁(范围34 - 74岁)。尽管我们未发现两种手术方法在临床改善方面存在差异,但由于一年后观察到的影像学优势、操作简便以及并发症较少,经椎间孔腰椎椎体间融合术(TLIF)更为可取。