Thomalske G, Galow W, Ploke G
MMW Munch Med Wochenschr. 1977 Sep 9;119(36):1159-64.
Operative treatment of lesions of the lumbar intervertebral disks with compression of the nerve roots is directed against the principal biomechanical cause of the clinical picture of the lumbosciatica. Very satisfactory results can be obtained if, besides the removal of the prolapsed portions of the disk in the intervertebral space, the diseased layer is also carefully cleared out as far as it is possible to do so, in the interests of preventing relapse. The operation should not be considered one for the inexperienced surgeon. The importance of reliable preoperative localization of the level of the root compression by lumbar radiculography is emphasized.
对伴有神经根受压的腰椎间盘病变进行手术治疗,旨在针对腰腿痛临床表现的主要生物力学病因。如果除了切除椎间隙内椎间盘的突出部分外,还尽可能仔细地清除病变层,以防止复发,就可以获得非常满意的效果。该手术不应被视为 inexperienced 外科医生可以进行的手术。强调了通过腰椎神经根造影对神经根受压水平进行可靠术前定位的重要性。