Allogeneic bone nail laminoplasty of.docVIP

 PAGE \* MERGEFORMAT 10 Allogeneic bone nail laminoplasty of [Abstract] Objective To study the allograft bone screw augmentation in the lumbar spinal canal in the application of spinous process and lamina complex of the way back to parts of plants. Methods in patients with severe lumbar spinal stenosis in 20 cases, with total spinal canal by laminectomy After pressing, the spinous process and lamina complex in the lamina turning 90 Hengjia isthmus, on the edge and the superior articular process and superior articular process under the lower edge of vertebral body (lumbar facet joints at the lower edge) in close contact with a root or two allogeneic bone nail, clinical observation and CT measurements. Results 20 patients were followed up 1 to 5 years, 11 cases were 12 to 24 months to do CT review, 10 patients achieved good bone healing, 1 case of fibronectin, all of the preoperative spinal canal diameter of more than 50% expansion, no dural emergence of new bone displacement and oppression, no lumbar instability, clinical results were satisfactory. Conclusion the spinous process and lamina complex replantation of the isthmus in the lamina, with allogeneic bone screw fixation laminoplasty, spinal canal close to the preoperative anatomy of a good reconstruction of spinal stability, reducing epidural adhesions, to avoid the lumbar spine instability so that early bone healing. [Keywords:] allogeneic bone screws, laminoplasty, complex replantation Laminectomy for spinal decompression is still the expansion of the treatment of severe lumbar spinal stenosis the main method, extensive damage to the spinal laminectomy in the rear structure, easy to create a new iatrogenic spinal stenosis and lumbar instability and other complications [1,2], advocated in recent years after decompression and the subsequent reconstruction of the Ministry structure. Since 2002, we used bone allograft bone nail laminoplasty line treatment of severe spinal stenosis in 20 cases, The