开窗减压术治疗中央型腰椎管狭窄症

Treatment of central lumbar spinal stenosis with fenestration decompression

中文关键词:  腰椎 开窗减压术 腰椎管狭窄

英文关键词:Lumbar spine,Stenosis,Fenestration,Stability

中文摘要:

  １９８６年以来，使用开窗减压术治疗中央型腰椎管狭窄症５３例，４９例（９２．５％）得到随访，优良率达９１．８％，仅有１例发生术后腰椎不稳。该手术损伤小，在较大程度上保留了腰椎后部结构均完整性，术后腰椎稳定性好，硬膜及神经根不易发生瘢痕粘连。虽然开窗减压范围小，但通过腰椎两侧对称性和多节段开窗，椎管可得到充分减压。临床应用表明该法较传统的椎板切除术疗效好。

英文摘要:

  Since 1986, 53 cases of central lumbar spinal stenosis have been treated with fen- estration decompression. A follow-up of 49 cases (92. 5%) showed that 91. 8% of the patients had an excellent or good result. Lumbar instability at the operated level occu