Besel R, Assmann H, Schneider J
Zentralbl Neurochir. 1979;40(1):59-70.
A report is given on 10 children and adolescents who were surgically treated because of prolapses of lumbar intervertebral discs. Besides a detailed anamnesis, the preoperative diagnosis was mainly based on general medical and neurological findings as well as X-ray pictures of the lumbar vertebral column. In case of the absence of radicular neurological failures and pecularities in the X-ray picture, e.g. signs of a spinal process of displacement, destructive changes in the osseous structures of the vertebral column, assimilation disturbances in the lumbosacral transition region, there is the indication for Dimer-X myelography. For all patients, histologically distinct to high-degree degenerative changes in the withdrawn vertebral disk material were found. Reliable signs of a traumatic genesis of the intervertebral disk prolapse were not seen.
报告了10例因腰椎间盘突出症接受手术治疗的儿童和青少年。除详细的病史外,术前诊断主要基于一般医学和神经学检查结果以及腰椎X线片。如果没有神经根性神经功能障碍且X线片无异常,如脊柱移位迹象、脊柱骨结构破坏改变、腰骶部移行区同化障碍等,则提示行二聚体X线脊髓造影。对所有患者而言,在取出的椎间盘组织中均发现了组织学上明显的高度退行性改变。未发现椎间盘突出创伤性成因的可靠迹象。