Journal of Jilin University Medicine Edition ›› 2015, Vol. 41 ›› Issue (05): 1050-1054.doi: 10.13481/j.1671-587x.20150526

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Comparison of CT scan results of lumbar spinal canal parameters between before and after unilateral laminotomy for bilateral decompression in adult spine specimens

LIU Peng1, SUN Qing2, QIN Tingzheng1, SUN Dong1, CHENG Jie1, YIN Xiaorong3, CUI Lin3, QIN Xiangzheng3   

  1. 1. Department of Orthopedics, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
    2. Department of Radiology, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
    3. Department of Anatomy and Embryology, School of Medical Sciences, Yanbian University, Yanji 133002, China
  • Received:2015-06-18 Published:2015-09-29

Abstract:

Objective To investigate the feasibility of the unilateral laminotomy for bilateral decompression (ULBD) in the treatment of degenerative lumbar spinal stenosis by anatomical study. Methods 10 adult formalin-fixed spine corpse specimens were selected,then the ULBD were performed with the posterior ligaments complex almost intact.CT scans were performed,and the parameters including the maximum anterior-posterior diameter the maximum transverse diameter,and the vertebral spinal canal area were detected before and after operation. Results Compared with before operation,the maximum anterior-posterior diameter and the maximum transverse diameter and the vertebral spinal canal area of corpses after operation were increased(P<0.01). Conclusion With the posterior ligaments complex almost intact,the ULBD could enlarge the lumbar spinal canal and decompress the nerve effectively.

Key words: unilateral approach bilateral decompression, degenerative lumbar spinal stenosis, minimal invasive spinal surgery

CLC Number: 

  • R322.72