Spengler D M, Freeman C W
Spine (Phila Pa 1976). 1979 Mar-Apr;4(2):129-34. doi: 10.1097/00007632-197903000-00006.
A reproducible method is presented for selecting patients with low-back pain and sciatica for lumbar discectomy based on specific objective criteria in four categories: neurologic signs, sciatic tension signs, personality factors (MMPI scores), and lumbar myelography. Operative findings for 50 consecutive cases selected using this method revealed complete nucleus pulposus herniation in 43 cases. This contrasts with complete herniation in only 5 of 26 patients undergoing lumbar discectomy before the method was employed. This objective preoperative evaluation method reduced negative disc explorations and improved early surgical results. We recommend its use for patients being considered for elective lumbar discectomy.
本文提出了一种可重复的方法，用于根据四类特定客观标准选择患有腰痛和坐骨神经痛的患者进行腰椎间盘切除术，这四类标准分别为：神经体征、坐骨神经张力体征、人格因素（明尼苏达多相人格调查表得分）和腰椎脊髓造影。使用该方法连续选择的50例患者的手术结果显示，43例存在完全性髓核突出。这与该方法应用前接受腰椎间盘切除术的26例患者中仅有5例出现完全性突出形成对比。这种客观的术前评估方法减少了阴性椎间盘探查，并改善了早期手术效果。我们建议将其用于考虑择期进行腰椎间盘切除术的患者。
