Treatment by limited-incision for posterior edge separation of lumbar vertebral body / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 132-133, 2008.
Artigo
em Chinês
| WPRIM
| ID: wpr-323133
ABSTRACT
<p><b>OBJECTIVE</b>To discuss effective operative method for posterior edge separation of lumbar vertebral body.</p><p><b>METHODS</b>Twelve cases of posterior edge separation of lumbar vertebral body were categorized as lateral type and central type, and were operated upon with limited-incision using lamina retractor. All patients were male and with an average age of 30 years (range, 23 to 40 years). The average history of disease was 17.9 months. In lateral type cases, separation bone was in the posterolateral lower edge of L4 vertebral body in 1 case, in the posterolateral upper edge of L5 vertebral body in 3 cases and in the posterolateral upper border of S1 vertebral body in 6 cases, all with ipsilateral disc herniation. Lateral type cases were treated with unilateral fenestration and removal of disc nucleus and posterior bony edge. Separation bone was in the central upper edge of S1 vertebral body with central disc herniation in 2 central type cases. Two central type cases were treated with bilateral fenestration and removal of disc nucleus and posterior bony edge.</p><p><b>RESULTS</b>All patients were followed up for 12 to 36 months, and the average follow-up was 22.5 months. According to Macnab postoperative evaluation criterion, the results were excellent in 10 cases, good in 2 cases.</p><p><b>CONCLUSION</b>Limited-incision for posterior edge separation of lumbar vertebral body has characteristic of less trauma and convenience. It is an effective method for removal posterior bony edge.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Período Pós-Operatório
/
Cirurgia Geral
/
Diagnóstico por Imagem
/
Tomografia Computadorizada por Raios X
/
Seguimentos
/
Resultado do Tratamento
/
Vértebras Lombares
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
China Journal of Orthopaedics and Traumatology
Ano de publicação:
2008
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS