van Akkerveeken P F
RUGadviescentrum, Bilthoven.
Orthopade. 1993 Aug;22(4):202-10.
A review is presented of the nomenclature, taxonomy and clinical presentation of the lumbar canal and lateral stenosis. A historical review of the literature illustrates the growing importance of this clinical entity in the narrow spinal canal. The definition of Verbiest is introduced and explained. It distinguishes two main groups of spinal stenosis: congenital and developmental stenosis. Developmental stenosis contains several subgroups. Special attention is paid to "central" lumbar canal stenosis and lateral spinal stenosis. Both entities are discussed with a description of the etiology, anatomy, and symptomatology. The importance of nerve root infiltration as a diagnostic tool in asymptomatic radiculopathy is emphasized.
本文对腰椎管狭窄症和侧隐窝狭窄症的命名、分类及临床表现进行了综述。对相关文献的历史回顾表明，这种临床病症在狭窄椎管中的重要性日益凸显。文中介绍并解释了韦尔比斯特的定义。它区分了椎管狭窄的两个主要类型：先天性和发育性狭窄。发育性狭窄包含几个亚组。特别关注了“中央型”腰椎管狭窄症和侧隐窝狭窄症。对这两种病症都从病因、解剖结构和症状学方面进行了讨论。强调了神经根浸润作为无症状性神经根病诊断工具的重要性。
