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用于治疗腰背痛和坐骨神经痛的减压性椎板切除术。

Decompressive laminectomy for low back and sciatic pain.

作者信息

Harris L

出版信息

Can Med Assoc J. 1970 Jun 20;102(13):1361-4.

PMID:4246359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1930297/
Abstract

A proportion of patients with lumbar disc syndromes have little in the way of disc protrusion, but have spinal canals, either congenitally narrow, or else narrowed by degenerative changes. These patients require myelography for their assessment and decompression by complete laminectomy for their treatment, as opposed to the more usual practice of discectomy via partial laminectomy and/or fusion. Five such cases with myelographic findings are presented.

摘要

一部分腰椎间盘综合征患者的椎间盘突出程度较轻,但存在先天性狭窄或因退变而狭窄的椎管。与通过部分椎板切除术和/或融合进行椎间盘切除术这种更常见的做法不同,这些患者需要通过脊髓造影进行评估,并通过全椎板切除术进行减压治疗。本文介绍了5例有脊髓造影表现的此类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/6489c561526d/canmedaj01596-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/f6529d65e720/canmedaj01596-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/47747a67c881/canmedaj01596-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/58fcf26f094d/canmedaj01596-0026-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/bc27f8ba408c/canmedaj01596-0026-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/03214c52b7ec/canmedaj01596-0026-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/aac087269f30/canmedaj01596-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/6489c561526d/canmedaj01596-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/f6529d65e720/canmedaj01596-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/47747a67c881/canmedaj01596-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/58fcf26f094d/canmedaj01596-0026-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/bc27f8ba408c/canmedaj01596-0026-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/03214c52b7ec/canmedaj01596-0026-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/aac087269f30/canmedaj01596-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d11/1930297/6489c561526d/canmedaj01596-0027-b.jpg

相似文献

1
Decompressive laminectomy for low back and sciatic pain.用于治疗腰背痛和坐骨神经痛的减压性椎板切除术。
Can Med Assoc J. 1970 Jun 20;102(13):1361-4.
2
Low back pain disorders: lumbar fusion?下背痛疾病:腰椎融合术?
Clin Neurosurg. 1986;33:457-83.
3
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Int Surg. 1974 Mar;59(3):154-5.
4
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J Neurosurg. 1973 Apr;38(4):499-503. doi: 10.3171/jns.1973.38.4.0499.
5
[Reoperations in lumbar discopathies].
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6
[Results of the surgical treatment of backache].[背痛的外科治疗结果]
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7
[Factors determining the results of surgical treatment of backache syndromes in the lumbar spine].[决定腰椎背痛综合征外科治疗结果的因素]
Neurol Neurochir Pol. 1992 Jan-Feb;26(1):57-65.
8
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J Bone Joint Surg Br. 1972 Nov;54(4):656-65.
9
A new approach to the surgical treatment of lumbar spondylosis.腰椎病外科治疗的一种新方法。
J Neurosurg. 1976 Feb;44(2):148-55. doi: 10.3171/jns.1976.44.2.0148.
10
The long-term effects of wide laminectomy for lumbar disc excision. A review of 130 patients.腰椎间盘切除术广泛椎板切除的长期影响。对130例患者的回顾。
J Bone Joint Surg Br. 1971 Nov;53(4):609-16.

本文引用的文献

1
Nerve rot compression associated with narrowing of the lumbar spinal canal.与腰椎管狭窄相关的神经根部受压
J Neurol Neurosurg Psychiatry. 1962 May;25(2):165-76. doi: 10.1136/jnnp.25.2.165.
2
Three cases of achondroplasia with neurological complications.三例软骨发育不全伴神经系统并发症。
J Neurol Neurosurg Psychiatry. 1952 Nov;15(4):246-52. doi: 10.1136/jnnp.15.4.246.
3
Paraplegia from ruptured lumbar discs in achondroplastic dwarfs.
J Neurosurg. 1952 Nov;9(6):648-51. doi: 10.3171/jns.1952.9.6.0648.
4
"Intermittent ischaemia" of the cauda equina due to stenosis of the lumbar canal.腰椎管狭窄导致马尾神经的“间歇性缺血”。
J Neurol Neurosurg Psychiatry. 1966 Aug;29(4):315-8. doi: 10.1136/jnnp.29.4.315.