老年腰椎管狭窄伴椎间盘突出症治疗的探讨

详细信息

Treatment of the lumbar spinal canal stenosis coupled with disc protrusion of the elderly

1. Department of Orthopaedics, Yangpu Geriatric Hospital, Shanghai 200090;
2. Department of Orthopaedics, The Affiliated Changhai Hospital of The Second Military Medical Universty, Shanghai 200090, China

摘要: 目的:探讨老年腰椎管狭窄伴椎间盘突出症的临床特点及治疗方法。方法:椎管减压加髓核摘除18例,椎管减压加髓核摘除加后路固定18例。结果:随访1.5~5年。椎管减压加髓核摘除优良率83.3%,椎管减压加髓核摘除加后路固定优良率94.4%。结论:老年腰椎管狭窄伴椎间盘突出症有手术条件者尽早手术,有关节突增生应进行固定手术,手术前后行抗骨质疏松治疗。
- 椎管狭窄 /
- 腰椎间盘突出症 /
- 内固定手术
Abstract: Objective:To investigate the clinical characteristics and therapies of the lumbar spinal canal stenosis coupled with lumbar disc protrusion the elderly.Methods:Eighteen cases were operated on with Spinal decompression and spinal cord nucleus extraction,the other 18 cases were operated on with spinal cord nucleus extraction and internal fixation.Results:Following-up from 1.5 to 5 years,the efficient race of the patients using the spinal cord nucle us extraxtion and spinal clecompression is 83.3%,the efficient of these cases added to internal fixation is 94.4%.Conclusions:The elderly lumbar spinal canal stenosis coupled with lumbar disc protrusion should be operated on as soon as possible.The articular facet hyperplasia should be fixed and the anti-osteoporosis therapy should be carried out pre/post-operation.
- spinal canal stenosis /
- lumbar disc protrusion /
- internal fixation surgery