腰椎管成形术的设计与临床应用

A design of lumbar laminoplasty and its clinical application

中文关键词:  腰椎管成形术  椎管狭窄症  减压  融合  稳定性

英文关键词:Laminoplasty Stenosis Decompression Spinal fusion Stability

中文摘要:

  采用作者设计的一种新型的腰椎管成形术，自１９８９年以来，共治疗严重型腰椎管狭窄症１３例。随访１～３年，优良率达１００％，术后未发生一例腰椎不稳，４例退变型腰椎滑脱者术后无一例滑脱加重。该手术通过椎管成型、扩大椎管、改良Ｈ形植骨及脊柱张力带钢丝固定，使椎管得到彻底减压，腰椎后部结构得到重建，从而达到防止术后腰椎不稳、硬膜及神经根疤痕粘连之目的。临床应用表明，该法较传统的椎板切除术疗效好。

英文摘要:

  A new lumbar laminoplasty has been designed by the author.13 cases of severe lumbar spinal stenosis have been treated with this operation since 1989. From one to three years follow up, the rate of fine result was 100%,and no postoperative lumbar spinal in