摘要
方法:传统的椎板切除是先切除棘突再切除椎板,此时棘突椎板均已破碎,无法利用。新方法是用椎板切开器,将两侧椎板切开,将棘突、椎板和韧带完整取下来,待椎管内操作完毕后,将此棘突,椎板和韧带复合体侧翻过来,覆盖在已经切开的椎管上,缝合固定即可。结论:此手术简便易行,而且安全,可以防止疤痕粘连和压迫,还可以向后扩大椎管。
Methods and Materials:New technique of laminectomy was performed with the special designed laminal cutting,divided the lamina bilateral.The spinal processes,laminae,and ligments were preserved as a piece of component segment and removed from the posterior aspect of spinal canal.After the procedure in the spinal canal completed,the piece of component segment had turned laterally and covered on the spinal canal,which laminectomy had performed,and fixed with several stich's.Conclusions:The improvement of this technique were:(1)This procedure was simply,rapidly and much safer,(2)It protected the dura mater of spinal cord to avoid adhesion and posterior enlarged the spinal canal.(3)It greatly increased the stabilization of spinal column.
出处
《颈腰痛杂志》
1998年第2期110-111,共2页
The Journal of Cervicodynia and Lumbodynia