中国・四国整形外科学会雑誌
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
原著
腰椎圧迫骨折後の脊柱管狭窄症に対する内視鏡手術の経験
小田 孔明高田 英一町田 芙美多田 圭太郎藤井 洋佑竹下 歩那須 正義
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2013 年 25 巻 2 号 p. 289-294

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We experienced 6 cases of lumbar spinal canal stenosis after compression fracture, for which we performed microendoscopic laminectomy. We examined the usefulness of this approach.
Materials and Methods: We assessed 6 patients who underwent microendoscopic laminectomy between April 2009 and April 2012. The operation was a single-sided approach with bilateral decompression under the METRx system. The parameters examined were the JOA score, Face Rating Score (FRS), the angle and the degree of intervertebral motion before and after the operation, and at the time of the last investigation.
Results: The average JOA score was improved by 8.3 points to 21 points and the average FRS was improved by 5.7 points to 3.0 points. All cases thus showed improvement. The angle of intervertebral motion was 4.8-4.6 degrees, and the degree of intervertebral motion was 0.75-0.98mm. There was no evidence of aggravated instability causing lumbago.
Conclusion: This series revealed neither aggravation of instability nor aggravation of lumbago after surgery.
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