Lian P
85th hospital of People's Liberation Army.
Zhonghua Wai Ke Za Zhi. 1993 Jul;31(7):414-6.
In the treatment of 45 cases with non-bony lumbar stenosis, we adopted remain of spinal process and supraspinal ligament, excision of limited lamina and ligament flavum, enlargement of spinal canal. Follow-up of 40 cases showed 31 were excellent, 7, good and 2 poor. Satisfactory results were obtained in 95% of the cases: non-bony lumbar stenosis considered a type of acquired lumbar stenosis. Clinically, it was characterized by claudication. Diagnosis of the disease mainly depends on dynamic flexion-extension myelography. The advantages of this method include excision of spinal canal soft tissue which compressed nerve, small damage of bone structure, recover of the patients and lumbar stability.
在治疗45例非骨性腰椎管狭窄症患者时,我们采用了保留棘突和棘上韧带、有限切除椎板和黄韧带、扩大椎管的方法。40例患者的随访结果显示,优31例,良7例,差2例。95%的病例取得了满意的效果:非骨性腰椎管狭窄症被认为是一种后天性腰椎管狭窄症。临床上,其特征为间歇性跛行。该病的诊断主要依靠动态屈伸脊髓造影。该方法的优点包括切除压迫神经的椎管软组织、对骨结构损伤小、患者恢复快以及腰椎稳定性好。