有限手术治疗腰椎椎体后缘离断症的疗效评价

Curative effect evaluation of limited operation in treatment of posterior bony edge separation of the vertebral body

目的 探讨有限手术治疗腰椎椎体后缘离断症的临床疗效。方法 回顾分析有限手术治疗腰椎椎体后缘离断症患者16例的临床资料。结果 依据日本骨科学会（JOA）下腰痛评分标准,随访4~10年,疗效：优14例（87.5%）,良1例（6.25%）,可1例（6.25%）,优良率达93.75%。未发现腰椎继发不稳和出现腰椎管狭窄症状。结论 椎板间撑开侧隐窝减压、摘除突出椎间盘髓核及椎体后缘骨块解除神经压迫治疗腰椎椎体后缘离断症,术野暴露良好,操作简便,降低了手术难度,可以充分保护脊柱后柱结构,是一种全新的诊疗思维和恰当的选择。

Objective To investigate the clinical effect of limited operation in the treatment of posterior bony edge separation of the vertebral body. Methods A retrospective analysis was made of the clinical date of 16 cases of posterior bony edge separation of the vertebral body treated by limited operation. Results According to Japanese orthopaedic association （JOA） scoring criteria, follow-up ranged from 4 years to 10 years. There were 14 excellent cases （87.5%）, 1 good case （6.25%）, 1 medium case （6.25%）, and the good rate was 93.75%. Lumbar secondary instability and lumbar spinal stenosis did not occur. Conclusion Interspinous distraction side recess decompression, removal of herniated nucleus pulposus and vertebral bone decompression of nerve in the treatment of posterior bony edge separation of the vertebral body have the advantages of good operative field exposure, easy operation, and reducing the operation difficulty. This therapy can fully protect the spinal column structure as a new diagnosis and treatment idea and appropriate choice.