Chevalley F, de Tribolet N
Service de neurochirurgie, Centre hospitalier universitaire vaudois, Lausanne.
Schweiz Med Wochenschr. 1989 Mar 11;119(10):312-7.
In a retrospective study of the results, 2 and 4 years after operation, of 52 cases of narrow lumbar canal, the most frequent preoperative symptoms were low back pain (82.7%), neurogenic claudication (61.5%) and sciatica (61.5%). 21 patients had a herniated disk in addition to the narrow canal. Sciatica was more frequent in this group than in narrow lumbar canal alone, where neurogenic claudication was more frequent. All patients underwent decompressive laminectomy, most often at level L4-L5. No spondylodesis was required. After 4.9 months, 84% of the patients were improved or cured. After more than 2 years 90% of the patients were cured of low back pain and 92% were cured of sciatica, but 22% were still under limitation in walking.
在一项对52例腰椎管狭窄症患者术后2年和4年结果的回顾性研究中，术前最常见的症状是腰痛（82.7%）、神经源性间歇性跛行（61.5%）和坐骨神经痛（61.5%）。21例患者除椎管狭窄外还患有椎间盘突出症。该组中坐骨神经痛比单纯腰椎管狭窄症更常见，而单纯腰椎管狭窄症中神经源性间歇性跛行更常见。所有患者均接受了减压椎板切除术，最常发生在L4-L5节段。无需进行脊柱融合术。4.9个月后，84%的患者病情改善或治愈。超过2年后，90%的患者腰痛治愈，92%的患者坐骨神经痛治愈，但22%的患者行走仍受限。
