Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2006
[Canal laminoplasty with titanium miniplate re-implantation of vertebral lamina].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Chen Liang, Pang Qingjiang, Zhang Qianfa
Аннотация
OBJECTIVE: To evaluate the reliability and the advantage of canal laminoplasty with laminoplasty over laminectomy for treatment of lumbar spinal stenosis.
METHODS: From June 2000 to September 2004, the titanium miniplate fixation technique was applied to re-implantation of the vertebral lamina in the lumbar spine. The vertebral lamina was made with a specially-made osteotome and a special technique in 18 patients with lumbar spinal stenosis.
RESULTS: The patients were followed up for 1 yr and 8 mon on average (range, 3 mon-4 yr and 3 mon) and were observed to have a bony fusion of the re-implanted lamina 3-9 months postoperatively. There was no nonunion, displacement of the re-implanted lamina, overgrowth of the anterior bone edge of osteotomy, recompression of the nerves or instability of the lumbar spine.
CONCLUSION: The result demonstrates that canal laminoplasty with the titanium miniplate re-implantation of the vertebral lamina in lumbar spine can restore the normal anatomy, keep stability of the spine, and avoid adhesion and scar in the canal.
METHODS: From June 2000 to September 2004, the titanium miniplate fixation technique was applied to re-implantation of the vertebral lamina in the lumbar spine. The vertebral lamina was made with a specially-made osteotome and a special technique in 18 patients with lumbar spinal stenosis.
RESULTS: The patients were followed up for 1 yr and 8 mon on average (range, 3 mon-4 yr and 3 mon) and were observed to have a bony fusion of the re-implanted lamina 3-9 months postoperatively. There was no nonunion, displacement of the re-implanted lamina, overgrowth of the anterior bone edge of osteotomy, recompression of the nerves or instability of the lumbar spine.
CONCLUSION: The result demonstrates that canal laminoplasty with the titanium miniplate re-implantation of the vertebral lamina in lumbar spine can restore the normal anatomy, keep stability of the spine, and avoid adhesion and scar in the canal.