Dieckmann C, Nicolas V, Bruns J
Radiologische Klinik, Universitätskrankenhaus Eppendorf.
Aktuelle Radiol. 1995 Jul;5(4):212-5.
We report on a rare disorder called de Anquin's disease or spinous engagement or impingement syndrome. Low back pain in this specific syndrome probably combined with sciatica is caused by a hypertrophic spinous process in combination with a spina bifida occulta of an underlying vertebra which leads to compression of the neural structures beneath. Mostly the enlarged spinous process is seen at the level L5 and the spina bifida occulta at the level S1. Between 1981 and 1993 six patients were treated surgically after long-lasting periods of conservative therapy by resection of the hypertrophic spinous process combined with revision of the nerve roots and division of adhaesions. All patients had been reexamined clinically and radiologically. Up to now three of six patients are free of all symptoms, pain diminished in two others. The back pain situation is unchanged in only one patient.
我们报告了一种罕见的疾病，称为德安昆氏病或棘突嵌塞或撞击综合征。这种特定综合征中的腰痛可能伴有坐骨神经痛，是由肥大的棘突与下方椎骨的隐性脊柱裂共同作用引起的，这会导致下方神经结构受压。大多数情况下，增大的棘突见于L5水平，隐性脊柱裂见于S1水平。1981年至1993年间，6例患者在经过长期保守治疗后接受了手术治疗，手术方式为切除肥大的棘突并修复神经根和松解粘连。所有患者均接受了临床和影像学复查。截至目前，6例患者中有3例已无任何症状，另外2例疼痛减轻。只有1例患者的背痛情况没有变化。
