Struppler A
MMW Munch Med Wochenschr. 1977 Sep 9;119(36):1137-42.
The neuronal systems involved in low back pain are first described in a functional anatomical review and then an attempt is made to work out the special functional structure data which seem to be decisive for the origin and localization of low back pain and ischialgia. Low back pain may arise as a deep pain through stimulation of the nociceptive afferents in the musculature and supporting tissues and as a neural pain through irritation of nociceptive nerve fibers within the innervation area of the lumbosacral plexus. The nociceptive influx from the viscera only elicits pain in the rarest cases, however, it often has a conductive influence. Skeletal muscle plays a special role here, along with the sensory supply to the vertebral motor segment through the spinal nerve and the particular innervation scheme of the lumbosacral plexus caused by the limb budding.
参与腰痛的神经系统首先在功能解剖学综述中进行描述，然后尝试找出似乎对腰痛和坐骨神经痛的起源及定位起决定性作用的特殊功能结构数据。腰痛可能通过刺激肌肉组织和支持组织中的伤害性传入神经而产生深部疼痛，也可能通过刺激腰骶丛神经支配区域内的伤害性神经纤维而产生神经性疼痛。然而，来自内脏的伤害性传入神经仅在极少数情况下引发疼痛，但其通常具有传导性影响。骨骼肌在这里起着特殊作用，同时还有通过脊神经对椎体运动节段的感觉供应以及肢体芽生导致的腰骶丛特殊神经支配模式。
