腰椎椎間孔内外病変に対する骨形成的椎弓切除術 適応及び手術成績について:—適応及び手術成績について—
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概要
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We consider osteoplastic laminectomy for entrapment radiculopathy at the foraminal and extraforaminal lesions of the lumbar spine. Nineteen operative cases with a mean age of 62.3 years were reviewed. The mean preoperative JOA score was 14.5, which was increased to 23.0 postoperatively. Fourteen (60%) of the cases were degenerative change. It is important to pay attention to the presence of compression due to degenerative change at the foraminal and extraforaminal lesions for proper diagnosis. Osteoplastic laminectomy allows appropriate decompression for involved nerve roots under a comprehensive view, preserving posterior structures.
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