臨床整形外科44巻11号

2009年11月発行

臨床経験

頚髄症に対する内視鏡下後方除圧術の臨床成績

著者： 南出晃人¹ 吉田宗人¹ 山田宏¹ 中川幸洋¹ 河合将紀¹ 岩﨑博¹

所属機関： ¹和歌山県立医科大学整形外科

ページ範囲：P.1125 - P.1131

　頚髄症に対する内視鏡下後方徐圧術(microendoscopic laminoplasty：MEL)の手術成績について報告する．対象は，頚髄症に対してMELを施行し，術後6カ月以上経過した51例で，頚椎症性44例，椎間板ヘルニア3例，黄色靱帯石灰化症4例であった．JOAスコアの改善率は平均52.5％であり，調査時のJOACMEQ，SF-36は，それぞれすべての項目で改善していた．周術期合併症は，硬膜損傷，術後硬膜外血腫をそれぞれ1例，術後C5麻痺を2例に認めた．頚髄症に対するMELの臨床成績は良好であり，周術期合併症に配慮すれば，MELは今後選択される手術方法の一つである．

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