Hidalgo-Ovejero A M, Martinez-Grande M, Garcia-Mata S
Orthopaedic Surgery Service, Ubarmin Clinic, Pamplona, Navarra, Spain.
Spine (Phila Pa 1976). 1994 Oct 1;19(19):2210-2. doi: 10.1097/00007632-199410000-00016.
Intradiscal gas is associated with tumors, infection, trauma, therapeutic and diagnostic spinal procedures, deposit illnesses, and disc degeneration. The existence of gas within the spinal canal has been seen on 17 occasions, of which 13 were associated with discal hernias.
In this study, 19 additional patients with intraspinal gas corresponding to discal hernias are presented, six of whom required surgical treatment. The association of intraspinal gas with intradural hernias frequently is reported in the literature, although this has not been proven in our group. Intrahernial gas is associated with patients who have chronic problems and with advanced age.
Intrahernial gas is much more common than is indicated in the literature. This finding often goes unnoticed, and the association between intradiscal gas and intradural hernias should be kept in mind.
椎间盘内气体与肿瘤、感染、创伤、脊柱治疗及诊断操作、沉积性疾病和椎间盘退变相关。椎管内气体已被发现17次,其中13次与椎间盘突出有关。
本研究报告了另外19例因椎间盘突出导致椎管内气体的患者,其中6例需要手术治疗。椎管内气体与硬膜内疝的关联在文献中常有报道,尽管在我们的研究组中尚未得到证实。疝内气体与慢性问题患者及高龄患者有关。
疝内气体比文献中指出的更为常见。这一发现常被忽视,应牢记椎间盘内气体与硬膜内疝之间的关联。