Reust P, Wendling D, Lagier R, Pageaut G, Reverdin A, Jacquet G, Guidet M, Fallet G H
Division of Rheumatology, University of Geneva Medical School, Switzerland.
Arthritis Rheum. 1988 Feb;31(2):288-94. doi: 10.1002/art.1780310220.
Two cases of sciatica secondary to nerve root compression by a "synovial cyst" of a zygapophyseal joint are described. In light of these 2 cases and on reviewing the literature, it appears that zygapophyseal joint osteoarthritis with degenerative (or articular) spondylolisthesis can be a predisposing factor to the formation of such synovial expansions and, consequently, the cause of nerve root compression. The coexistence of a lumbar degenerative spondylolisthesis with a radicular syndrome should therefore encourage early investigation by computed tomography scan, so that conservative treatment would not be unnecessarily prolonged.
本文描述了两例因关节突关节“滑膜囊肿”压迫神经根继发坐骨神经痛的病例。鉴于这两例病例并回顾相关文献，似乎关节突关节骨关节炎伴退行性（或关节性）椎体滑脱可能是此类滑膜扩张形成的一个易感因素，进而成为神经根受压的原因。因此，腰椎退行性椎体滑脱与神经根综合征并存时，应鼓励早期进行计算机断层扫描检查，以免不必要地延长保守治疗时间。
