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椎板间腰椎装置植入治疗Baastrup病(亲吻棘突)。

Interlaminar lumbar device implantation in treatment of Baastrup disease (kissing spine).

作者信息

Mostofi Keyvan, Moghadam Babak Gharaei, Peyravi Morad

机构信息

Department of Neurosurgery, Centre Clinical, Chirurgie De Rachis, Soyaux, France.

Department of Neurosurgery, Neurosurgical Clinic of Dr. Gharaei, Tehran, Iran.

出版信息

J Craniovertebr Junction Spine. 2018 Apr-Jun;9(2):83-86. doi: 10.4103/jcvjs.JCVJS_139_17.

Abstract

BACKGROUND

Baastrup disease (BD) is characterized by the degenerative changes of spinous processes and interspinous soft tissues. It is more common among aged persons. This disorder is a relatively common cause of low back pain. Its incidence is underestimated. A few studies have investigated BD epidemiology and proposed treatment efficacy. The aim of this paper is to establish impact and outcome evaluations of managing the patients with Baastrup disease who have been treated by implementing of floating interlaminar device (FID).

MATERIALS AND METHODS

Between January 2015 and September 2017, 47 patients have been operated by implementing of FID for BD in our Department of Neurosurgery.

RESULTS

Of the 47 patients, 20 were female and 27 were male with an average age of 51.78. On average, we followed the cases up to 11 months. The most frequent level of disorder was L4"L5 followed by L3"L4 level. The condition of 45 patients improved after surgery according to Oswestry low back pain score and 39 patients could return to their work.

CONCLUSION

The results from our study corroborate that implementing of FID is a good alternative treatment for patient chronic low back pain due to BD This technique contributes to improving a better living situation for the patients given the correct indications.

摘要

背景

巴斯楚普病(BD)的特征是棘突和棘间软组织的退行性改变。该病在老年人中更为常见。这种病症是下背痛的相对常见原因。其发病率被低估。一些研究调查了BD的流行病学并提出了治疗效果。本文的目的是对采用浮动椎板间装置(FID)治疗的巴斯楚普病患者进行疗效和结果评估。

材料与方法

2015年1月至2017年9月期间,我们神经外科有47例患者接受了FID治疗BD的手术。

结果

47例患者中,女性20例,男性27例,平均年龄51.78岁。平均随访时间为11个月。最常受累节段为L4L5,其次是L3L4节段。根据奥斯威斯瑞下背痛评分,45例患者术后病情改善,39例患者能够恢复工作。

结论

我们的研究结果证实,对于因BD导致慢性下背痛的患者,采用FID是一种很好的替代治疗方法。在有正确适应症的情况下,该技术有助于改善患者的生活状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a10d/6024746/3b26913f18dd/JCVJS-9-83-g001.jpg

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