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开窗技术 治疗老年退变性腰椎管狭窄症的安全性及疗效

率高,住院时间长,长期疗效差〔4〕。我们认为,需要3个节段以上减压的患者,腰椎退变程度严重,椎管有效容积少,且症状复杂,术前定位不准确,影响长期疗效,具体原因有待进一步研究。

  【参考文献】

  1 Ragab AA,Fye MA,Bohlman HH,et al.Surgery of the lumbar spine for spinal stenosis in 118 patients 70 years of age or olde〔J〕.Spine(Phila Pa 1976),2003;28(4):34853.

  2 Carreon LY,Puno RM,Dimar JR 2nd,et al.Perioperative complications of posterior lumbar decompression and arthrodesis in older adults〔J〕.J Bone Joint Surg (Am),2003;85(11):208992.

  3 Deyo RA,Gray DT,Kreuter W,et al.United States trends in lumbar fusion surgery for degenerative conditions〔J〕.Spine(Phila Pa 1976),2005;30:14415.

  4 Cassinelli EH,Eubanks J,Vogt M,et al.Risk factors for the development of perioperative complications in elderly patients undergoing lumbar decompression and arthrodesis for spinal stenosis:an analysis of 166 patients〔J〕.Spine(Phila Pa 1976),2007;32(2):2305.

  5 Katz JN,Lipson SJ,Larson MG,et al.The outcome of decompressive laminectomy for degenerative lumbar stenosis〔J〕.J Bone Joint Surg 〔Am〕,1991;73:80916.

  6 Katz JN,Lipson SJ,Brick GW,et al.Clinical correlates of patient satisfaction after laminectomy for degenerative lumbar spinal stenosis〔J〕.Spine(Phila Pa 1976),1995;20:115560.

  7 Li G,Patil CG,Lad SP,et al.Effects of age and comorbidities on complication rates and adverse outcomes after lumbar laminectomy in elderly patients〔J〕.Spine,2008;33(11):12505.

  8 Deyo RA,Cherkin DC,Loeser JD,et al.Morbidity and mortality in association with operations on the lumbar spine:the influence of age,diagnosis,and procedure〔J〕.J Bone Joint Surg 〔Am〕,1992;74:53643.

  9 Charles S,Daniel G,Steven L. Complications of surgical treatment for lumbar stenosis in the elderly population〔J〕.Curr Opin Orthopaedics,2004;15 (3):1724.

  10 Kim HJ,Lee HM,Kim HS,et al.Life expectancy after lumbar spine surgery:one to elevenyear followup of 1015 patients〔J〕.Spine(Phila Pa 1976),2008;33(19):211621.

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