[1]章凯,吴增晖,尹庆水,等.棘突椎板回植椎管成形在胸腰椎后路手术中的应用[J].陆军军医大学学报(原第三军医大学学报),2007,29(06):547-549.
 ZHANG Kai,WU Zeng-hui,YIN Qing-shui,et al.Clinical evaluation of replantation of lamina and spinous process during laminoplasty in posterior thoracolumbar operation[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(06):547-549.
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棘突椎板回植椎管成形在胸腰椎后路手术中的应用(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
29卷
期数:
2007年第06期
页码:
547-549
栏目:
论著
出版日期:
2007-03-30

文章信息/Info

Title:
Clinical  evaluation  of replantation of lamina and spinous process during laminoplasty in posterior thoracolumbar operation
作者:
章凯吴增晖尹庆水夏虹王智运麦小红
广州军区广州总医院骨科
Author(s):
ZHANG Kai WU Zeng-hui YIN Qing-shui XIA Hong WANG Zhi-yun MAI Xiao-hong
Department of Orthopaedics, General Hospital of Guangzhou Military Command, Guangzhou 510010, China
关键词:
棘突椎板回植 椎管成形 脊柱稳定性
Keywords:
replantation of lamina and spinous process laminoplasty spinal stability
分类号:
R615;R681.5
文献标志码:
A
摘要:
目的     探讨棘突椎板回植椎管成形在胸腰椎后路手术的应用价值。     方法     将43例患者(椎管内肿瘤患者8例,脑性瘫痪选择性脊神经前后根切断术35例)的带蒂棘突椎板行棘突内面纵形开槽,两侧椎板横形掰开,回植椎管成形。     结果     临床随访平均18个月,回植棘突椎板获得骨性融合,脊柱稳定性得到有效的保持,未发现椎管狭窄及椎管疤痕黏连压迫硬膜等手术后并发症。     结论     棘突椎板回植椎管成形可满足手术显露的要求,又保持了椎管的完整性,可以有效预防胸腰椎后路手术后疤痕增生黏连对椎管内脊髓神经的压迫。
Abstract:
Objective     To evaluate the replantation of lamina and spinous process during laminoplasty in posterior thoracolumbar surgery.      Methods     Forty-three cases including 8 cases of spinal canal tumors, 35 cases of spastic cerebral palsy treated with selective partial anterior and posterior rhizotomy. After the spinous process was cut vertically, both sides of a lamina were separated horizontally and replanted.      Results     After 18 month follow-up, replanted lamina and spinous process of all cases got bony fusion and good stability, without spinal stenosis or compression owing to scar.      Conclusion     This method can provide good operative exposure, maintain the spinal integrity and avoid nerve root compression due to the spinal canal scar.
更新日期/Last Update: 2008-10-29