Hemilaminoplasty for the treatment of lumbar disc herniation

被引：0
作者：
Liu Xinyu
Zheng Yanping
Li Jianmin
Gong Liangtai
机构：
[1] Qilu Hospital,Department of Orthopaedic Surgery
[2] Shandong University,undefined
来源：
International Orthopaedics | 2009年 / 33卷
关键词：
Cobb Angle; Spinous Process; Lumbar Disc Herniation; Ligamentum Flavum; Sagittal Alignment;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The aim of this study was to evaluate the clinical outcome of the hemilaminoplasty technique for the treatment of lumbar disc herniation (LDH). Forty-three cases of single-level LDH underwent a discectomy and hemilaminoplasty procedure. The preoperative JOA score and VAS of lower back and leg pain were 10.4±1.3, 7.8±2.1, and 8.6±1.7, respectively. The Cobb angle of lumbar sagittal alignment was 10.1±2.0. Twenty-five patients who agreed to lumbar discectomy through fenestration were enrolled as the control group. The postoperative JOA score and VAS of low back and leg pain of the hemilaminoplasty group were 19.4±1.3, 1.4±0.4, and 2.1±0.5, respectively. The Cobb angle was 29.2±1.9 degrees. There was no epidural scar observed in any of the patients. The Cobb angle of the hemilaminoplasty group was higher than that of the control group (p < 0.05), while the VAS was significantly lower (p < 0.05). Hemilaminoplasty is a useful method to improve clinical outcome, prevent epidural scar, and preserve the normal alignment of lumbar spine.
引用
收藏
页码：1323 / 1327
页数：4
相关论文
共 53 条
[1]  
Adachi K(2003)Spinal canal enlargement procedure by restorative laminoplasty for the treatment of lumbar canal stenosis Spine J 3 471-478
[2]  
Futami T(2002)Clinical and radiological results of lumbar microdiscectomy technique with preserving of ligamentum flavum comparing to the standard microdiscectomy technique Surg Neurol 57 5-13
[3]  
Ebihara A(2001)En bloc laminoplasty performed with threadwire saw Neurosurgery 48 235-239
[4]  
Yamaya T(2006)The transverse placement laminoplasty using titanium miniplates for the reconstruction of the laminae in thoracic and lumbar lesion Eur Spine J 15 1292-1297
[5]  
Kasai N(1997)New laminoplasty after thoracic and lumbar laminectomy J Spinal Disord 10 20-26
[6]  
Nakazawa T(2006)Preserving the ligamentum flavum in lumbar discectomy: a new technique that prevents scar tissue formation in the first 6 months postsurgery Neurosurgery 59 ONS126-ONS133
[7]  
Imura T(1997)Spinal column deformity and instability after lumbar or thoracolumbar laminectomy for intraspinal tumors in children and young adults Spine 22 442-451
[8]  
Aydin Y(2003)A ligamentum flavum-preserving approach to the lumbar spinal canal Spine 28 E385-E390
[9]  
Ziyal IM(2004)Reconstruction of the laminar roof with miniplates for a posterior approach in intraspinal surgery: technical considerations and critical evaluation of follow-up results Spine 29 E333-E342
[10]  
Duman H(2001)Spinal sagittal malalignment following surgery for primary intramedullary tumours in children Pediatr Neurosurg 35 318-324
123456