胸椎黄韧带骨化症的手术治疗

The surgical treatment of the ossification of the ligamentum flavum in thoracic spine

目的 :探讨胸椎黄韧带骨化症的手术治疗方法与技巧 ,以提高胸椎黄韧带骨化症的诊疗水平。方法 :胸椎黄韧带骨化症 2 1例 ,均行胸椎后路节段全椎板切除椎管扩大脊髓减压术。结果 :本组术后平均随访 1 5a ,优 16例 ( 76 2 %) ,良 5例 ( 2 3 8%)。疗效满意。结论 :早期诊断并尽早手术是治疗胸椎黄韧带骨化症的关键。

Objective To explore a better surgical method and skill for treatment of the ossification of the ligamentum flavum in thoracic spine.Methods Twenty-one patients with ossification of the ligamentum flavum in thoracic spine were performed segmental posterior thoracicc laminectomy for the decompression of the spinal cord and enlargement of the spinal canal.Results The average followed-up period was 1.5 years.The excellent results were obtained in 16 patients(76.2%),good in 5 patients(23.8%).They were all satisfied with the results.Conclusion The early diagnosis and surgery is the key to the treatment of the ossification of the ligamentum flavum in thoracic spine.