LaBan Myron M, Green Monica L
Physical Medicine and Rehabilitation, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Am J Phys Med Rehabil. 2004 Mar;83(3):187-90. doi: 10.1097/01.phm.0000113405.48879.45.
To determine the frequency of concurrent cervical and lumbar spinal stenosis (i.e., "tandem spinal stenosis" [TSS]) in a 10-yr review of hospital admissions.
In a retrospective study of 460,964 hospital admissions to our 1,000-bed academic community hospital, we identified a base population of 54 patients with TSS. These patients presented with multiple complaints, including neurogenic claudication, progressive gait disturbances, and neurologic signs of both upper and lower motor neuron dysfunction, among others. Since 1964 when TSS was first described, estimates of its frequency have varied widely, ranging from a low of 5% to a high of 28%.
Of the 54 cases of TSS identified among the 460,964 patient admissions during a 10-yr period, 36 were men and 18 were women. A total of 51 were >51 yrs of age. For all ages, the frequency rate of TSS in this series was 12 per 100,000 admissions.
With TSS, the symptoms of either the cervical or the lumbar type initially predominate. Often, only after the primary pathology is treated does the secondary problem become evident. Although TSS occurred relatively infrequently in this series, its potential presence should not be overlooked.
通过对10年医院入院病例的回顾，确定合并颈椎和腰椎管狭窄（即“串联性椎管狭窄”[TSS]）的发生率。
在对我们拥有1000张床位的学术型社区医院460964例入院病例进行的回顾性研究中，我们确定了54例TSS患者的基础人群。这些患者有多种症状，包括神经源性间歇性跛行、进行性步态障碍以及上下运动神经元功能障碍的神经学体征等。自1964年首次描述TSS以来，其发生率的估计差异很大，从低至5%到高至28%不等。
在10年期间460964例患者入院病例中确定的54例TSS病例中，男性36例，女性18例。共有51例年龄大于51岁。在所有年龄段中，本系列中TSS的发生率为每100000例入院病例中有12例。
对于TSS，颈椎型或腰椎型症状最初占主导。通常，只有在治疗原发性病变后，继发性问题才会变得明显。尽管本系列中TSS发生相对较少，但其潜在存在不应被忽视。
