老年腰椎管狭窄伴椎间盘突出症治疗的探讨

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

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。

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.