Jönsson B, Strömqvist B, Egund N
Department of Orthopedics, University Hospital in Lund, Sweden.
Spine (Phila Pa 1976). 1989 Aug;14(8):831-4. doi: 10.1097/00007632-198908000-00009.
Eleven patients ranging from 13 to 76 years in age with low-back pain and asymmetric sacro-transverse joints were studied. Preoperatively, scintimetry was performed in eight of the patients, in all cases with normal results. Ten of the 11 patients had their sacrotransverse joint anesthesized in fluoroscopy. Nine of these experienced pain reduction or alleviation. Resection of the transverse process was performed in all cases. At follow-up, at 6 to 42 months postoperatively, seven patients reported total alleviation of pain, and two, significant improvement. Two patients had unchanged symptoms; one patient was 76 years of age, had associated degenerative changes of the spine, and had no effect of local anesthetics in his joint, and the other was a 13-year-old male competitive swimmer. The authors conclude that, in patients with anomalous unilateral lumbosacral articulations and low-back pain, in whom local anesthesia into the joint gives pain alleviation, resection of the transverse process may be a worthwhile procedure.
对11例年龄在13至76岁之间、患有下腰痛且骶横关节不对称的患者进行了研究。术前，8例患者进行了闪烁扫描，所有病例结果均正常。11例患者中有10例在荧光镜下对骶横关节进行了麻醉。其中9例疼痛减轻或缓解。所有病例均进行了横突切除术。随访时，术后6至42个月，7例患者报告疼痛完全缓解，2例明显改善。2例患者症状未改变；1例患者76岁，伴有脊柱退行性变，关节局部麻醉无效，另1例是13岁的男性竞技游泳运动员。作者得出结论，对于单侧腰骶关节异常且下腰痛、关节局部麻醉可缓解疼痛的患者，横突切除术可能是一种值得尝试的手术。
