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融合术在慢性下腰痛中的作用。

The role of fusion for chronic low back pain.

作者信息

O'Brien J P

出版信息

Orthop Clin North Am. 1983 Jul;14(3):639-47.

PMID:6223261
Abstract

The demonstration of a rich nerve supply in the outer half of the disc and the occurrence of deep pain referred from the vertebral column to the leg without nerve root compression are both important aspects in understanding low back pain and in making a decision regarding its surgical management. Discography is invaluable as a diagnostic test in patients with chronic back pain if one is to demonstrate discogenic lesions. For sufferers of postlaminectomy syndrome, a difficult patient group, a simultaneous combined anterior and posterior fusion offers a real hope for relief of pain and rehabilitation.

摘要

椎间盘外半部分丰富神经供应的显示,以及在无神经根受压情况下从脊柱向腿部放射的深部疼痛的出现,在理解腰背痛以及决定其手术治疗方面都是重要的方面。如果要证明椎间盘源性病变,椎间盘造影作为慢性背痛患者的诊断测试是非常宝贵的。对于椎板切除术后综合征患者这一困难的患者群体,同时进行前后联合融合为缓解疼痛和康复带来了真正的希望。

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