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《Chinese Journal of Bone and Joint Injury》 2009-01
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Analysis of Effect of Surgical Treatment of Degenerative Lumbar Spinal Canal Stenosis in Senile People

Tang Liming,Lu Jianmin,Zhu Zhongjiao,et al.Department of Orthopaedics,Affiliated Zhongshan Hospital of Dalian University,Dalian,116001  
Objective To investigate the surgical treatment and clinical effects of old people with degenerative lumbar spinal canal stenosis treated surgically.Methods From January 1999 to December 2004,a retrospective review of 116 cases of degenerative lumbar canal stenosis treated surgically with different procedures was performed.In the series,54 males,62 females aging from 65~82 years old(with the mean age of 74.3 years old) were collected,103 cases treated with surgical decompression(58 cases were performed with remaining upper 1/3 laminetomy or simply laminectomy,45 cases were performed with multilaminectomy,and 13 cases with posterior decompression combined with pedicle screws fixation and posterolateral bone graft).Results All cases acquired a follow-up of 2~6 years(averaging 3 years and 11 months).JOA score improved from(7.5±1.8) preoperatively to(14.0±1.3) postoperatively.Of patients receiving decompression surgery,the continuous motor function of all cases improved,and 94.2% cases were satisfied with surgical outcomes.Conclusion Treating degenerative lumbar canal stenosis with surgical decompression combined with fusion or non-fusion technique plays an important role in neurological recovery and guarantees satisfactory therapeutic effect.But operations must be performed according to the individual circumstances.
【CateGory Index】: R687.3
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