The effect of laminectomy spine fixation on restore function in treatment of patients with degenerative lumbar spinal stenosis
10.3760/cma.j.issn.1008-6706.2015.19.035
- VernacularTitle:全椎板切除脊柱内固定对老年退行性腰椎管狭窄症患者功能恢复的效果评价
- Author:
Hongjun DENG
- Publication Type:Journal Article
- Keywords:
Laminectomy spinal fixation;
Spinal stenosis;
Lumbar vertebrae
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(19):2993-2995
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of laminectomy spine fixation on restore function in treatment of patients with degenerative lumbar spinal stenosis.Methods 60 patients with degenerative lumbar spinal stenosis were selected and divided into the observation group and control group with 30 patitents respectively.Patietns in the observation group were taken with laminectomy decompression of spinal fixation,while patients in the control were treated with part laminectomy decompression of spinal fixation.The treatment effect was observed.Results Compared with the preoperative data,postoperative neurologic recovery of the two groups were analyzed in A grade,B grade,D and E grade level terms after comparison analysis,the difference was statistically significant (χ2 =6.392,6.203, 7.213,7.382,all P <0.05).Compared with the patients of the control group,comparison analysis of A grade,B grade,D and E grade level terms in the patients of the observation group had a statistically significant difference (χ2 =6.012,6.102,7.124,7.203,all P <0.05).Compared with the preoperative data,the resuts of postoperative 3 months showed canal diameter of (17.2 ±3.1)mm,at last follow -up was (16.8 ±2.7)mm.After a comparative analysis,the differences were statistically significant (t =6.391,7.692,all P <0.05).Patients after three months,the diameter of the spinal canal comparative analysis of last follow -up,the difference was not statistically significant (t =0.592,P >0.05 ).Conclusion Surgery is the treatment of degenerative lumbar spinal stenosis disease the most effective treatment.Measures taken by posterior spinal decompression discectomy,again with pedicle fixation and interbody fusion approach,can make a good prognosis,and isworthy of clinical use.
