单独对62个孤立的L1-2腰椎间盘椎间盘瘤进行解压
Aydemir Kale1, Fatih Gok1, Tolga Turkmen2
1Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey.
Surgical neurology international
|March 5, 2026
概括
开放式断层切除术/微断层切除术 (OLM) 有效地治疗罕见的上腰椎间盘 (L1-L2) 没有融合. 这种手术方法在62名患者中显示出足够的结果,并且没有脊柱不稳定.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 在L1-L2水平上部腰椎间盘 (ULDHs) 不常见.
- 由于骨靠近,这些带带来了外科手术挑战.
- 没有融合的开放性细片切除术/细片切除术 (OLM) 是一种潜在的治疗方法.
研究的目的:
- 评估L1-L2椎间盘的开放层切除术/微圆切除术 (OLM) 的结果.
- 评估OLM在治疗上腰椎间盘的疗效和安全性.
- 为了确定没有融合的OLM是否会导致脊柱不稳定.
主要方法:
- 在2005年至2022年期间,对62名接受L1-L2椎间盘的OLM治疗的患者进行了回顾性审查.
- 分析包括人口统计数据,腿部疼痛视觉模拟量表 (VAS) 和修改日本整形医学协会 (mJOA) 评分.
- 一年后的术后动态X射线被用于评估脊柱稳定性.
主要成果:
- L1-L2椎间盘 represented 0.9% 的所有腰椎间盘的审查.
- 常见的症状包括背部疼痛 (95%),腿部疼痛 (82%),马尾部症状 (64%) 和神经性 (45%).
- 在术后没有观察到磁盘复发或临床/放射性不稳定性迹象.
结论:
- 开放式断层切除术/微断层切除术 (OLM) 是L1-L2盘的可行外科选择.
- OLM技术为椎椎间盘上部椎间盘提供了足够的临床结果.
- 对于L1-L2盘的OLM不会导致脊柱不稳定.
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