Rosa M, Capellini C, Canevari M A, Prosetti D, Schiavoni S
Neuroradiology. 1986;28(3):237-40. doi: 10.1007/BF00548197.
In a consecutive series of 600 patients scanned by CT for various spinal diseases, those with low back and sciatic pain without disc herniation were selected for study. The causes proved to be joint facet degeneration (32 cases), stenosis of the neural foramina (13 cases), stenosis of the spinal canal (13 cases), lateral recess stenosis (6 cases) and spondylolisthesis (6 cases). The predominance of joint facet pathology as the underlying cause of low back and sciatic pain in the absence of disc herniation is confirmed. CT scanning of the soft tissues as well as of the skeletal structures is crucial to the aetiological diagnosis of the condition under study and hence to the proper planning of treatment.
在一系列连续600例因各种脊柱疾病接受CT扫描的患者中，选择那些有下腰痛和坐骨神经痛但无椎间盘突出的患者进行研究。结果表明病因包括关节突退变（32例）、神经孔狭窄（13例）、椎管狭窄（13例）、侧隐窝狭窄（6例）和椎体滑脱（6例）。证实了在无椎间盘突出的情况下，关节突病变是下腰痛和坐骨神经痛的主要潜在病因。对软组织和骨骼结构进行CT扫描对于所研究病症的病因诊断至关重要，因此对于正确的治疗规划也至关重要。
