腰椎侧弯角对老年腰椎管狭窄症的诊断意义

The importance of lumbar scoliosis angle for the diagnosis of senile lumbar vertebral canal stenosis

报告老年性腰椎管狭窄症５８例，年龄５５～７８岁．结合临床症状，对其Ｘ线片进行了分析，发现有５１例（占８７．９％）存在不同程度的腰椎侧弯，且腰椎侧弯角的大小与病变程度成正比关系。据此认为：腰椎侧弯角可作为诊断老年腰椎管狭窄症的重要指标和选择治疗方法、判断疾病预后的依据，侧弯角大于１０°者，需做手术治疗；小于１０°者，行非手术治疗可取得满意疗效。

Fifty-eight cases of senile lumbovertebral canal stenosis are reported in the paper.Through observing clinical symptoms and analysing x-ray films,the authors found that 51 of all the cases(87.9%)had varied-degree lumbar scoliosis(LS)and the degree of LS angle was positively related to the lesion severity. Based on that,they believed that the LS angle could be regarded as an important index for the diagnosis of senile lumbovertebral canal stenosis and the basis for selecting the treatment methods and judging the prognosis of the disease.Cases with LS angle>10°shouldbe treated surgically,while cases with LS angle<10°could be treated non-surgically with satisfactory results.