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单侧腰椎小关节肥大导致神经根受刺激。

Unilateral lumbar facet joint hypertrophy causing nerve root irritation.

作者信息

Wilde G P, Szypryt E P, Mulholland R C

机构信息

Spinal Research Unit, Harlow Wood Orthopaedic Hospital, Mansfield.

出版信息

Ann R Coll Surg Engl. 1988 Sep;70(5):307-10.

PMID:3190129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2498839/
Abstract

We present four cases of massive unilateral lumbar facet joint hypertrophy in an otherwise morphologically normal spine. All presented with a combination of low back pain and symptoms of entrapment of a single lumbar nerve root. The abnormality is best visualised by CT scanning and the results of surgical decompression by partial undercutting facetectomy are favourable.

摘要

我们报告了4例形态学正常的脊柱出现单侧腰椎小关节大量肥大的病例。所有病例均表现为腰痛合并单一腰神经根受压症状。通过CT扫描能最佳地观察到这种异常情况，而部分下切式小关节切除术进行手术减压的效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/355765f4786d/annrcse01552-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/146d280b0fa6/annrcse01552-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/50351a1ea2af/annrcse01552-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/b6f0c7b6d6c0/annrcse01552-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/355765f4786d/annrcse01552-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/146d280b0fa6/annrcse01552-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/50351a1ea2af/annrcse01552-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/b6f0c7b6d6c0/annrcse01552-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca88/2498839/355765f4786d/annrcse01552-0053-a.jpg

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1
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本文引用的文献

1
OSTEOARTHRITIS IN LUMBAR SYNOVIAL JOINTS. A MORPHOLOGIC STUDY.腰椎滑膜关节的骨关节炎。一项形态学研究。
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Lumbar monoradiculopathy due to unilateral facet hypertrophy.
Neurosurgery. 1982 Apr;10(4):480-6. doi: 10.1227/00006123-198204000-00011.
3
Hypertrophic synovitis of the lumbar facet joint in two cases of herniated intervertebral disc.两例椎间盘突出症患者的腰椎小关节肥大性滑膜炎
Mt Sinai J Med. 1982 Sep-Oct;49(5):434-7.
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Lumbar nerve root compression at the intervertebral foramina caused by arthritis of the posterior facets.小关节关节炎导致椎间孔处的腰神经根受压。
J Neurosurg. 1973 Sep;39(3):362-9. doi: 10.3171/jns.1973.39.3.0362.
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Spinal stenosis, a cause of cauda equina compression.腰椎管狭窄症，一种马尾神经受压的病因。
J Bone Joint Surg Br. 1968 Aug;50(3):606-18.
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The relation of facet orientation to intervertebral disc failure.小关节方向与椎间盘退变的关系。
Can J Surg. 1967 Apr;10(2):179-85.
7
Osteoarthrosis in human cadaveric lumbo-sacral zygapophyseal joints.人类尸体腰骶关节的骨关节炎
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