“经皮神经根切断术”的解剖学评估

An anatomical assessment of the "percutaneous rhizolysis" procedure.

作者信息

Bogduk N, Colman R R, Winer C E

出版信息

Med J Aust. 1977 Mar 19;1(12):397-9. doi: 10.5694/j.1326-5377.1977.tb130762.x.

DOI:10.5694/j.1326-5377.1977.tb130762.x

Abstract

The procedure known as rhizolysis has been claimed to denervate the lumbar zygapophyseal joints. Analysis of the surgical anatomy of the incisions used in the procedure reveals that theoretically they do not interrupt the nerve supply to the zygapophyseal joints. The procedure was performed at six levels in each of three cadavers. Subsequent dissection revealed that at no level was the nerve supply to the zygapophyseal joints interrupted. The writers conclude that denervation of the Zygapophyseal joints cannot be held to be the mechanism of any pain relief that rhizolysis may achieve.

摘要

一种名为椎间孔神经根松解术的手术据称可使腰椎小关节去神经支配。对该手术所用切口的手术解剖分析表明，理论上这些切口不会中断小关节的神经供应。在三具尸体上，每个尸体的六个节段都进行了该手术。随后的解剖显示，在任何节段，小关节的神经供应都未被中断。作者得出结论，不能认为小关节去神经支配是椎间孔神经根松解术可能实现的任何疼痛缓解的机制。