腰椎软骨终板破裂症的诊断与手术治疗

Diagnosis and Surgical Treatment of the lumbar Cartilaginous End-Plate Rupture

目的:探讨腰椎软骨终板破裂症的病因、临床、影像学特点及治疗方法。方法:对2003年1月～2008年12月收治的45例腰椎软骨终板破裂症患者的临床资料进行回顾性分析。结果:45例患者经6个月～36个月随访,优良率达95%。对腰椎软骨终板破裂症患者,CT具有较高诊断价值,结合患者影像学及临床表现采用相应术式,摘除突出椎间盘及后缘骨块,彻底解除神经根和马尾神经的压迫,可获得较好的治疗效果。

Objective：To study the etiology,clinical and radiographic presentation,diagnosis and surgical treatment of the lumbar cartilaginous end-plate rupture.Method：45 cases（32 males,13 females）of lumbar cartilaginous end-plate rupture from January 2003 to December 2008 were reviewed retrospectively.Result：After 6 ~ 36 months follow-up,all the patients get good rate of 95%.To the lumbar cartilage end-plate rupture patients,CT scan has more high value of diagnosis.According to the clinical manifestations and radiographic characteristic,the corresponding operation method was adopted to remove the protruded disc and the ruptured cartilaginous end-plate of the posterior margin of the vertebrae.It can obtain better clinical effect that completely removing the compression of nerve root and cauda equina.