椎板开窗成形术治疗腰椎间盘突出症

Openwindow laminaplasty operation for lumbar disc herniation

目的 :探讨腰椎间盘突出症外科治疗方法及疗效。方法 :切取椎板外层骨皮质向上翻转 ,椎板内层开窗 ,摘除突出髓核 ,将翻转的椎板外层回覆原处。结果 :术后随访 2 7例 ,时间 163 8个月 ,优良率达 96 3 %。结论 :作者设计的椎板开窗成形术治疗腰椎间盘突出症对腰椎稳定性影响小 。

Objective:To study the operative method and the effect of surgical treatment for lumbar disc herniation Method:The openwindow laminaplasty operation was performed on the patients with serious symptoms in the affected lower limb Ressect and remain outer layer of the lamina,openwindow on the lamina,while the prolapsed disc was removed,then recover the remain outer layer of the lamina Result:Twenty seven patients were followed up after the operation for 16 to 38 months The excellent and good rate was 96 3% Conclusion:The openwindow laminaplasty operation for lumbar disc herniation produces less influence upon the stability of lumbar vertebrae and has good effect on it