Spanu G, Messina A L, Assietti R, Sangiovanni G, Rodriguez y Baena R
Department of Surgery, University of Pavia, I.R.C.C.S.-Policlinico San Matteo, Italy.
Acta Neurochir (Wien). 1988;94(3-4):144-9. doi: 10.1007/BF01435868.
Authors present the clinical and neuroradiological characteristics of 40 patients treated for lumbar canal stenosis during a 10 years experience. The usefulness of computed tomography in comparison with myelography and plain X-rays of the spine is stressed. The surgical treatment was wide laminectomy involving one or more levels (two to four) plus an eventual foraminotomy but without discectomy. All patients were followed up and in 85% of cases a reduction of clinical symptoms was observed. Residual symptoms were also present in some of the improved patients, they generally accepted them without great dismay.
作者介绍了在10年经验中接受腰椎管狭窄症治疗的40例患者的临床和神经放射学特征。强调了计算机断层扫描与脊髓造影和脊柱平片相比的实用性。手术治疗为广泛椎板切除术,涉及一个或多个节段(二至四个),并最终进行椎间孔切开术,但不进行椎间盘切除术。所有患者均接受随访,85%的病例观察到临床症状减轻。一些病情改善的患者也存在残留症状,他们通常对此并不十分沮丧地接受了。