Bartynski Walter S, Petropoulou Kalliopi A
Department of Radiology, Division of Neuroradiology, Presbyterian University Hospital, University of Pittsburgh Medical Center, 200 Lothrop Street, D132, Pittsburgh, PA 15213, USA.
Magn Reson Imaging Clin N Am. 2007 May;15(2):137-54, v. doi: 10.1016/j.mric.2007.01.010.
Several distinct clinical syndromes can accompany low back pain in patients with lumbar spine abnormality. Developmental factors and any superimposed degenerative changes determine the size and configuration of the spinal canal, lateral recess, and neural foramen, and can affect the nerve roots. Somatic or referred pain may develop depending on the involved anatomic site and underlying pathology. Many times, but not always, MR imaging findings correlate with the clinical presentation. Combined analysis of the imaging and clinical findings may provide a more accurate and concise approach to the patient with low back pain.
腰椎异常患者出现下腰痛时，可伴有几种不同的临床综合征。发育因素以及任何叠加的退行性改变决定了椎管、侧隐窝和神经孔的大小和形态，并可影响神经根。根据受累的解剖部位和潜在病理情况，可能会出现躯体痛或牵涉痛。很多时候，但并非总是如此，磁共振成像（MR）结果与临床表现相关。对影像学和临床结果进行综合分析，可能会为下腰痛患者提供一种更准确、更简洁的诊疗方法。
