PEI Xianwu,YANG Dongli,KONG Xianglu.CT measurement on a mimic operation of spinal process and vertebral lamina turnover shelf procedure[J].Chinese Journal of Spine and Spinal Cord,2011,(6):489-492.
CT measurement on a mimic operation of spinal process and vertebral lamina turnover shelf procedure
Received:January 18, 2011  Revised:May 07, 2011
English Keywords:Spinal process and vertebral lamina  Turnover  Lumbar spinal stenosis  Surgery  CT scan
Fund:基金项目:首都医学发展科研基金资助项目(2007-3184)
Author NameAffiliation
PEI Xianwu Department of OrthopedicsBeijing Fangshan District Liangxiang HospitalBeijing102401China 
YANG Dongli 北京市房山区良乡医院骨科 102401 
KONG Xianglu 北京市房山区良乡医院骨科 102401 
史宗新  
胡振强  
陈 宁  
赵秀珍  
宋红星  
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English Abstract:
  【Abstract】 Objective:To investigate the feasibility and CT measurement of spinal process and vertebral lamina turnover shelf operation for lumbar spinal stenosis.Method:CT images of 50 cases of out-patient with low back pain(excluding spinal deformity,lumbar disc herniation and lumbar spinal stenosis) were transferred into the computer,and spinal process and vertebral lamina turnover shelf operation was performed mimically on computer by using Photoshop software.The height of spinal process and vertebral lamina,the postoperative length of spinal process and a half of vertebral lamina and the area of vertebral canal were measured at L3~L5 level.The preoperative length of inner pedicle margin and the area of vertebral canal on CT scan were measured and compared with the postoperative ones.Result:The height of L3,L4 and L5 spinal process was 24.68±2.81mm,22.44±4.33mm and 19.46±3.69mm respectively,no significant difference was noted between them(P>0.05).The length of spinal process and a half of vertebral lamina of L3,L4 and L5 was 34.68±3.91mm,35.44±3.43mm and 34.56±3.76mm respectively,which were more than that of inner pedicle margin(P<0.05).The postoperative spinal canal area of L3,L4 and L5 was 516.01±13.75mm2,507.76±12.85mm2 and 508.03±12.12mm2 respectively,which were more than preoperative ones(P<0.05).Conclusion:The spinal process vertebral lamina after turnover can cover the defect due to removal of lamina,which can enlarge lumbar canal and can be used as an alternative to conventional laminectomy.
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