 Wysłany: Śro 7:21, 09 Mar 2011 Temat postu: belstaff espana zhk qpf nuch nbb |
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Lamina bridge multi-segmental resection of spinal stenosis treatment Exposure is limited, not necessarily complete excision and postoperative clinical symptoms and signs improved, but still complained of symptoms after more. (2) is widely particularly transcendent total laminectomy, three-column divided by dis method, too much tissue damage after the second column, leading to vertebral instability, for the prevention of iatrogenic spondylolisthesis, vertebral fixation, the intervertebral space integration of additional surgery, and more types of the rise. Shenkin report, the greater the more prone laminectomy spondylolisthesis, spondylolisthesis rate of 43%,mbt scarpe, in particular, a wide range of disc excision, 76% detachment rate of -3.1. Extensive laminectomy, laminectomy collapse of soft tissue, extensive adhesions within the spinal canal, spinal canal stenosis after varying degrees, many symptoms of iatrogenic new, long-term haunt doctors and patients. The group used a bridge-type laminectomy. Advantages: (1) to retain the integrity of the supraspinous ligament, spinous process and lamina and the vertebral body to maintain continuity. Therefore, the surgical spine stabilization, reduce unnecessary vertebral fixation, intervertebral fusion surgery. (2) This operation can complete spinal stenosis, spinal nerve root canal expansion joints cohesive, laminar proliferation, yellow ligament hypertrophy, intervertebral disc, vertebral resection surgery proliferation. (3) spinous process and lamina was the bridge type,tory burch, vertical bone muscle and other soft tissues in the lateral longitudinal lamina scaffolding collapsed bridge above the spinal cavity is not easy, can avoid adhesions after spinal stenosis. (4) lamina completely outside the suction drainage, epidural hematoma less, completely filling the spinal cord,adidas scarpe, spinal canal stenosis to reduce local resistance adhesion. (Courtesy of Xinjiang Medical University,ghd italia, Department of Anatomy, Professor Zhang Fenglan guidance) |
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