Jenis L G, An H S
Department of Orthopaedic Surgery, New England Baptist Bone and Joint Institute Spine Center, Tufts University School of Medicine, Boston, Massachusetts, USA.
Spine (Phila Pa 1976). 2000 Feb 1;25(3):389-94. doi: 10.1097/00007632-200002010-00022.
Lumbar foraminal stenosis is an important pathologic entity to identify in the patient being treated for radicular symptoms. This update reviews the anatomy, clinical presentation, neuroradiographic evaluation, and treatment of pathology located in the intervertebral foramen. Patients with significant leg pain refractory to conservative treatment and concordance between the demonstrated area of stenosis and radicular symptoms and signs are candidates for the decompressive procedures discussed. The role of arthrodesis and spinal instrumentation in the management of foraminal stenosis also is addressed.
腰椎椎间孔狭窄是在治疗神经根症状患者时需要识别的重要病理实体。本综述更新了关于椎间孔处病变的解剖学、临床表现、神经影像学评估及治疗方法。对于经保守治疗后仍有严重腿痛，且所显示的狭窄区域与神经根症状和体征相符的患者，是本文所讨论减压手术的候选对象。同时也探讨了融合术和脊柱内固定在椎间孔狭窄治疗中的作用。
