Oland G
Tidsskr Nor Laegeforen. 1989 Apr 30;109(12):1285-7.
The article presents a one-year material of 41 women and 59 men with chronic low-back disorders. Patients who had undergone back surgery and patients with inflammatory disease, fibromyalgia and somatoform disorders were excluded. Median age was 39 years, and median time off work was 16 months. Neurological deficits were found in the lower extremities in 48%. Of the 48 patients with calf symptoms, 60% had neurological deficits. Of 22 patients with thigh symptoms, 45% had neurological deficits, and such deficits were found in 30% of the 30 patients with back pain only. Relevant roentgenographic findings were obtained in 84%; decreased disc height, osteoarthritic facet joints, end-plate fracture, narrow bony canal, disc bulge and disc prolapse. It is concluded that, in the evaluation of low-back disorders, survey x-ray examination is a valuable and necessary supplement to a detailed history and thorough clinical examination.
本文呈现了41名女性和59名男性慢性下背部疾病患者的一年资料。接受过背部手术的患者以及患有炎症性疾病、纤维肌痛和躯体形式障碍的患者被排除在外。中位年龄为39岁，中位误工时间为16个月。48%的患者下肢存在神经功能缺损。在48名有小腿症状的患者中，60%存在神经功能缺损。在22名有大腿症状的患者中，45%存在神经功能缺损，而在仅患有背痛的30名患者中，30%存在此类缺损。84%的患者获得了相关的X线检查结果；椎间盘高度降低、骨关节炎性小关节、终板骨折、骨性椎管狭窄、椎间盘膨出和椎间盘突出。结论是，在评估下背部疾病时，X线检查是详细病史和全面临床检查的有价值且必要的补充。
