摘要
目的探讨老年多节段腰椎间盘突出症合并椎管狭窄外科治疗的临床疗效。方法对21例老年多节段腰椎间盘突出症合并椎管狭窄患者采用椎板减压、髓核摘除、椎体间融合同时椎弓根内固定治疗。对患者术前、术后及末次随访时进行视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)评估,采用Macnab标准进行临床疗效评定。结果 21例均获随访,时间13～46个月。术后及末次随访时VAS评分和ODI评定与术前比较差异均有统计学意义(P<0.01)。疗效评价:优9例,良9例,可3例。结论后路减压、髓核摘除、椎体间融合同时椎弓根内固定治疗老年多节段腰椎间盘突出症合并椎管狭窄安全有效。
Objective To investigate the effects of surgery for nmhi-segmental lumbar disc herniation in elderly pa- tients with spinal stenosis. Methods 21 elderly patients diagnosed with umlti-segmental lumbar disc herniation with spinal stenosis, underwent laminectomy, discectomy, and posterior lumbar interbody fusion with pedicle screw fixa- tion technique. The visual analog scale （VAS）, Oswestry disability index （ODI） and Macnab standards were used to evaluate the clinical effectiveness. Results All cases were followed up for 13 -46 months. The VAS and ODI scores were significantly improved after surgery and at ultimate follow up compared with those before surgery （ P 〈 0. 01 ）. The results were excellent in 9 eases, good in 9 and fair in 3. Conclusions Lamineetomy, discectomy, and posterior lumbar interbody fusion with pedicle screw fixation is a safe and effective treatment of lumbar disc herniation in elder- ly patients with spinal stenosis.
出处
《临床骨科杂志》
2013年第3期256-258,共3页
Journal of Clinical Orthopaedics
