腰椎软骨板破裂症的诊断与手术治疗

Diagnosis and surgical Treatment of Rupture of Cartilaginous End-plate of Lumbar Vertebra

腰椎软骨板破裂是引起腰腿痛的原因之一,它可伴发椎间盘突出和椎管狭窄,表现为根性卡压征和马尾综合征。本文报告36例,占我院同期501例腰椎间盘手术的7.2％。作者就该病的发病机理、临床特点、分型、诊断及后术等方面的问题进行了讨论。认为CT、MRI检查对该病诊断很有价值。手术治疗应包括椎板开窗减压,髓核摘除和软骨板切除,其优良率达97.6％。

Rupture of cartilaginous end-plate of lumbar vertebra is one of the factors that give rise to low back-ache and sciatica-It may be associated with spinal stenosis and disc hernia tion. This article presents 36 cases of the disorder,accounting for 7.2% of the tolal of 501 cases undergoing operation for lumbar disc disorders from 1992 to 1996-The age of the patients ranged from 18 to 58 years with an average of 36. 5 years. The problems of pathogenesis, clinical features, category,diagnosis and surgical treatment of the disorder were discused-The role of CT examination should be stressed in diagnosis of the disorder. The surgical treatment included discectomy,spinal decompression and excision of ruptured end-plate with lam-inal fenestration. The excellent and good rates were as high as 97. &%.