Zarski S, Ruzikowski E, Styczyński T
Neurol Neurochir Pol. 1980 Jul-Aug;14(4):419-26.
In a group of 400 patients operated upon at the Department of Neurology, Institute of Rheumatology in Warsaw in the years 1971-1978 for lumbar intervertebral disc prolapse in 20 cases (5%) canal stenosis was found as the cause of vertebral canal narrowing. Three clinical syndromes were isolated in this group: cauda equina intermittent claudication (4 cases), flaccid paraparesis of lower extremities (3 cases) and ischialgia with paralysis of an extremity (13 cases). The clinical and radiological features and pathogenetic factors in stenosis of the lower part of the vertebral canal are discussed. The good results of vertebral canal decompression are stressed.
在1971年至1978年间于华沙风湿病研究所神经科接受手术的400例患者中,有20例(5%)因腰椎间盘突出症接受手术,术中发现椎管狭窄是椎管狭窄的原因。该组患者分离出三种临床综合征:马尾间歇性跛行(4例)、下肢弛缓性轻瘫(3例)和坐骨神经痛伴肢体麻痹(13例)。本文讨论了椎管下部狭窄的临床、放射学特征及发病因素。强调了椎管减压的良好效果。