Prevention of adhesions around the spinal laminectomy Research Progress.doc

 PAGE \* MERGEFORMAT 10 Prevention of adhesions around the spinal laminectomy Research Progress Keywords: Laminectomy “Laminectomy” is the surgical treatment of lumbar disc herniation, spinal stenosis and other spinal disorders in the general steps, but some cases the Ministry of laminectomy in the healing process after the formation of scar tissue can be broke into the spinal canal, resulting in iatrogenic vertebral stenosis. When the scar with the outer membrane, or spinal nerve root adhesion formation, leads to repression, the waist, leg pain can relapse, leading to surgical failure, that is, a “failed back surgery syndrome (failed back surgery syndrome, FBSS)”. The incidence as high as 6% to 15% [1]. How to prevent scar formation after laminectomy epidural adhesions around the spine surgery become the urgent need to solve a difficult problem. Since 1948, Key and Ford made the first source of fibrosis theory that derived from the anterior scar formation after injury in the beginning of the annulus fibrosus. In response to this problem over the years a number of scholars to conduct a large number of animal experiments and clinical research, and have achieved certain results, the prevention of the occurrence of this disease has played a positive role, are summarized below. Etiology and mechanism of a Key in 1948 proposed the formation of fibrosis after the first source of theory, many scholars have done in this regard for further research; LaRocca made in 1974, after the source of scar formation theory, and the establishment of laminectomy membrane (laminectomymembrane) theory; 90 years, Songer et al [2] Animal studies found that both the epidural fibrosis surrounding the sacral spine from the back muscle injury in the wound, but also from the front of the damage in fibrous ring and the posterior longitudinal ligament, the latter fiber scar surrounding the nerve root , leading to lateral involvement, the question arises fibrosis