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椎间盘切除术后骨质增生所致腰椎管狭窄

Lumbar spinal stenosis by postdiscectomy hyperostosis.

作者信息

Rusu M, Taraşi C, Logofătu S

机构信息

Department of Neurosurgery, Universitatea de Medicină şi Farmacie Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 1993 Apr-Jun;97(2):235-7.

PMID:7997662
Abstract

The mesenchymal repair process of the connective tissue in the surgical wound following lumbar laminectomy presents three aspects: postoperative epidural scar, heterotopic bone formation in the epidural scar and vertebral hyperostosis around laminectomy. Twelve cases of lumbar spine hyperostosis consecutive to laminectomy, confirmed by x-ray findings and surgery are presented. The main symptom at presentation was a recurrent sciatic neuritis. Lumbo-sacral spine films showed a "bright" focal condensation in the previous surgical. Lamina inferior and superior and the articular facets were hypertrophic. Surgery confirmed the hyperostosis and compressive lumbar spine stenosis or foramen stenosis.

摘要

腰椎板切除术后手术伤口结缔组织的间充质修复过程呈现三个方面

术后硬膜外瘢痕、硬膜外瘢痕中的异位骨形成以及椎板切除周围的椎体骨质增生。本文报告了12例经X线检查和手术证实的腰椎板切除术后连续性椎体骨质增生病例。就诊时的主要症状为复发性坐骨神经炎。腰骶部脊柱X线片显示先前手术部位有“明亮”的局灶性致密影。椎板上下缘及关节突肥大。手术证实存在骨质增生及腰椎管狭窄或椎间孔狭窄。

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