Restorative laminotomy for lumbar canal stenosis

  • KASAI Norikazu
    北里大学東病院整形外科〔〒228-8520 相模原市麻溝台2-1-1〕
  • 安達 公
    北里大学東病院整形外科〔〒228-8520 相模原市麻溝台2-1-1〕
  • 蛯原 有男
    北里大学東病院整形外科〔〒228-8520 相模原市麻溝台2-1-1〕
  • 田辺 賀則
    北里大学東病院整形外科〔〒228-8520 相模原市麻溝台2-1-1〕
  • 中澤 俊之
    北里大学東病院整形外科〔〒228-8520 相模原市麻溝台2-1-1〕
  • 二見 俊郎
    北里大学東病院整形外科〔〒228-8520 相模原市麻溝台2-1-1〕

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  • 腰部脊柱管狭窄症に対する椎弓還納式脊柱管拡大術の検討  椎弓切除術との比較
  • ヨウブ セキチュウカン キョウサクショウ ニ タイスル シイキュウカンノウシキ セキチュウカン カクダイジュツ ノ ケントウ シイキュウ セツジョジュツ ト ノ ヒカク

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Thirty-six patients with lumbar canal stenosis were treated with restorative laminotomy(RL: 25 patients)or laminectomy (LE: 11 patients), and the postoperative clinical results were compared between two groups. The mean improvement rates were 70.0% in RL and 59.5% in LE. The mean hospital stay after surgery in RL was shortened statistically, and the mean low-back-pain score six months after surgery in RL was superior statistically. In RL, bony union of restored laminae was observed on CT scan 4 months after surgery on average. The short-term clinical results of restorative laminotomy for lumbar canal stenosis were encouraging.

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