椎板成形术治疗老年马尾神经综合症(CES)63例

Reconstructing the vertebral laminate treated the elder Cauda Equina Syndrome 63 cases

目的 :椎板成形术治疗老年马尾神经综合征的临床效果。方法 :椎板成形术 (全椎板切除 ,椎管减压 ,“H”形大块植骨 ,椎板下穿丝加压固定术 )治疗腰椎管狭窄所致老年马尾神经损害 (CES) 6 3例。结果 :本组病人平均随访 1年 10个月 ,根据Nakai标准 ,优良率 84.13%。结论 :老年腰椎管狭窄引起的CES行椎板成形术治疗 ,马尾神经彻底减压是消除症状和功能恢复的保证 ;大块“H”型植骨钢丝加压内固定 ,既可减轻术后疤痕膜形成 ,又重建脊柱稳定和促进植骨的融合。

Objective:Effctive of reconstructing the vertebral laminate treated the elder Cauda Equina Syndrome.Methods:Reconstructing the vertebral laminate(63 cases of elder Cauda Equina syndrome due to lumbar spinal canal stenosis,had been operated on thoroughly extensive decompression both with 'H'sharp bone graft fusion and fixation with steel wire).Results:The mean time on follow-up is 22 months.According to the Nakai scale,The results with excellent and fair rate were 84.13 %.Conclusion:The author discussed the Reconstructing the vertebral laminate on the thoroughly decompressed laminectomy and 'H' bone graft fusion not only reduced epidural scar formation but also rebuilt the stability of the spinal column.