Ido K, Shimizu K, Tada H, Matsuda Y, Shikata J, Nakamura T
Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Sakyoku, Japan.
J Spinal Disord. 1998 Feb;11(1):75-9.
Nine patients treated by surgery for upper lumbar disc herniations were reviewed. Of nine patients with upper lumbar disc herniations at the L1-L2 or L2-L3 level, five were treated by anterior procedures, whereas four underwent posterior procedures. Four of the five patients on whom anterior procedures were performed underwent additional spinal instrumentation using the Kaneda device and Z-plate system. Clinical symptoms improved in all nine patients. Confirmation of the type and level of disc herniation and increased thoracolumbar kyphosis must be taken into consideration when the optimal surgical procedure and spinal instrumentation method are selected.
对9例接受上腰椎间盘突出症手术治疗的患者进行了回顾性研究。在9例L1-L2或L2-L3水平的上腰椎间盘突出症患者中，5例接受了前路手术，而4例接受了后路手术。接受前路手术的5例患者中有4例使用Kaneda装置和Z形钢板系统进行了额外的脊柱内固定。所有9例患者的临床症状均有改善。在选择最佳手术方法和脊柱内固定方法时，必须考虑椎间盘突出的类型和水平以及胸腰段后凸增加的情况。
