Gelderman P W
Acta Neurochir (Wien). 1982;61(1-3):55-71. doi: 10.1007/BF01740072.
From the historical lines along which our thinking about low back pain developed, three concepts can be deduced: radicular, stenotic and axial. The patient with a low back pain syndrome (LBS) should be seen with this three concept view (TCV) in mind. Modern insight into the degenerative process of the low back supports this concept. The clinical syndromes illustrating these concepts, radicular syndromes, Neurogenic Peripheral Intermittent Claudication (NPIC), and axial low pack pain, can intermingle. To determine the place of the CT scan in the process of diagnosis of the LBS, we carried out a total of 56 CT-examinations on about 200 low back patients with various indications. The results are discussed. In addition to radiological suppositions, NPIC plays an important part in deciding whether or not to perform a CT scan.
从我们对腰痛的认识所发展的历史脉络中，可以推导出三个概念：神经根性、狭窄性和轴性。患有腰痛综合征（LBS）的患者应以这种三概念观（TCV）来诊治。对腰部退变过程的现代认识支持了这一概念。阐释这些概念的临床综合征，即神经根性综合征、神经源性周围间歇性跛行（NPIC）和轴性腰痛，可能相互交织。为了确定CT扫描在腰痛综合征诊断过程中的作用，我们对约200名有各种症状的腰痛患者总共进行了56次CT检查。对结果进行了讨论。除了放射学推测外，NPIC在决定是否进行CT扫描方面起着重要作用。
