Tessitore Enrico, Molliqaj Granit, Schatlo Bawarjan, Schaller Karl
Neurosurgical Unit, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Switzerland.
Department of Neurosurgery, Georg-August University, University of Medicine Gottingen, 37075 Gottingen, Germany.
Eur J Radiol. 2015 May;84(5):765-70. doi: 10.1016/j.ejrad.2014.03.016. Epub 2014 Apr 4.
In industrialized countries, more than two thirds of the population suffers from low back pain (LBP) in their lifetime. LBP associated with lumbar disc herniation, stenosis, and instability is a well-known and documented entity. On the other hand, the lumbar discogenic pain and facet syndrome are difficult to be clearly identified, and they are not always detectable by imaging. This article describes the causes of these painful syndromes, which are typically without radicular component, explains the modern diagnostic procedures, and provides guidelines for surgical decision making.
在工业化国家，超过三分之二的人口一生中会遭受腰痛（LBP）。与腰椎间盘突出症、椎管狭窄和腰椎不稳相关的腰痛是一个广为人知且有文献记载的病症。另一方面，腰椎间盘源性疼痛和小关节综合征难以明确诊断，且影像学检查不一定能检测到。本文描述了这些通常无神经根症状的疼痛综合征的病因，解释了现代诊断方法，并提供了手术决策指南。
