Deburge A, Garreau de Loubresse C, Barre E, Vaquin G, Lassale B
Service de Chirurgie Orthopédique, Hôpital Beaujon, Clichy.
Chirurgie. 1991;117(5-6):454-9.
The authors report about 139 cases of nerve root compression due to a lumbar stenosis of the lateral recess. Saccoradiculography seems to be the best examination technique, and the radioclinical agreement is satisfactory. The technique for the surgical treatment and the extent of the release are described. Decompression must involve the symptomatic nerve roots, as well as those who appear to be displaced or amputated on radiculography. The only prognostic element noted in this study is the duration of evolution of preoperative symptoms. Thus the results may be less good for radicular pain lasting for more than one year.
作者报告了139例因侧隐窝腰椎管狭窄症导致神经根受压的病例。骶神经根造影似乎是最佳检查技术，且放射学与临床的一致性令人满意。文中描述了手术治疗技术及减压范围。减压必须涉及有症状的神经根，以及在神经根造影上显示移位或截断的神经根。本研究中唯一观察到的预后因素是术前症状的持续时间。因此，对于持续超过一年的神经根性疼痛，结果可能不太理想。
