椎间孔及椎间孔外腰椎间盘突出症的诊断
Diagnosis of foraminal and extraforaminal lumbar disk herniation.
作者信息
Van den Bergh R, Van Calenbergh F
机构信息
Department of Neurology and Neurosurgery, University Hospital Gasthuisberg, Leuven, Belgium.
出版信息
Acta Neurol Belg. 1990;90(3):140-8.
PMID:2120903
Abstract
Thanks to the more systematical use of CT scan, more and more foraminal and extraforaminal disk herniations are discovered. Some symptoms and signs can be suggestive. Association of negative myelography with important radicular signs should receive special attention. The extremely lateral herniation can be managed easiest and safest by a combined approach, both interlaminar paramedian and lateral to the facet joint, which should be preserved.
摘要
由于CT扫描的更系统应用，越来越多的椎间孔和孔外椎间盘突出被发现。一些症状和体征具有提示性。脊髓造影阴性但伴有重要神经根体征的情况应予以特别关注。极外侧型椎间盘突出采用联合入路治疗最为简便安全，即经椎板间正中旁入路并在小关节外侧入路，小关节应予以保留。
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