Gerber N J
Rheumatologische Universitätsklinik, Universitätsspital, Bern.
Ther Umsch. 1994 Jun;51(6):381-8.
This review tries to help the general physician to discriminate between extravertebral and vertebral causes of back pain by medical history and clinical investigation. The extravertebral causes are most often related to psychobiosocial disturbances, less often to muscular overload, viscerogenous or neurogenous causes. The vertebral causes, on the other side, are often related to functional disturbances of intervertebral joints or degenerative disorders or, in rarer instances, to metabolic, inflammatory, tumourous, or developmental disorders of the spine.
本综述旨在通过病史和临床检查,帮助普通内科医生鉴别背痛的椎体外和椎体病因。椎体外病因大多与心理-生物-社会紊乱有关,较少与肌肉负荷过重、内脏源性或神经源性病因有关。另一方面,椎体病因常与椎间关节功能紊乱或退行性疾病有关,或在罕见情况下与脊柱的代谢、炎症、肿瘤或发育性疾病有关。