摘要
目的 :探讨终板破裂型椎间盘突出症的发病机理和诊断治疗。方法 :3 7例病人 ,以腰腿痛症状为主。CT或MRI扫描显示椎体后缘终板破裂压迫神经根。全部行手术治疗 ,摘除突出的椎间盘髓核 ,部分病例凿除破裂的终板。结果 :术后 3 7例病人全部获随访 ,时间 6个月～ 4年 ,按JOA评分 ,术前 13分 ,最终随访 2 6分。结论 :青少年时期腰椎受异常应力的作用引起椎体软骨终板破裂 ,破裂的软骨终板在髓核的作用下凸入椎管 ,导致了本病的发生。手术治疗可获得满意的结果。
Objective:To study the diagnosis and treatment of the herniation of the lumbar disc with cartilaginous end-plate rupture.Method:There were 37 cases with this disease whose chief symptoms were low back and leg pain.CT scanning or MRI found cartilaginous end-plate protruding into the spinal canal and compressing the lumbar nerve root.All cases were operated on.Herniated disc material and cartilaginous end-plate were removed.Result:All 37 cases were followed up for 6 months to 48 months.According to low back pain score of the JOA,the average score was 13 points at the pre-operation,the average score was 26 points at last followed up.Conclusion:Cartilaginous end-plate and degenerate disc protruded into the spinal canal to compress nerver root or cauda equina lead to symptoms and signs of the herniated lumbar disc or spinal stenosis.Satisfactory results can be achieved when discectomy and total or partial excision of the cartilaginous end-plate.
出处
《中国矫形外科杂志》
CAS
CSCD
2002年第14期1378-1380,共3页
Orthopedic Journal of China
关键词
终板破裂
椎间盘突出症
诊断
治疗
Lumbar vertebrae
Disc herniation
Cartilaginous end-plate rupture
