Walker N, Langlotz M, Meyer M
Z Orthop Ihre Grenzgeb. 1977 Feb;115(1):47-54.
The syndrom of the narrow spinal canal is today to be separated from other lumbar diseases by its nosological entity. It starts slowly and becomes manifest in middle and advanced age. Claudicatio intermittens is the characteristic symptom of this disease the aetiology of which is multifactory. Most patients show in the myelogram konstitutionell alterations combined with localized or generalized degenerative narrowing of the spinal canal. The clinical findings correspond to the lumbar segments affected. With localized narrowing the differential diagnosis of disc herniation is generally possible by myelography. This is of therapeutic consequence because in this cases a removal of the disc is unnecessary.
狭窄性椎管综合征如今应根据其疾病实体与其他腰椎疾病区分开来。它起病缓慢，在中老年人中显现。间歇性跛行是这种病因多方面的疾病的特征性症状。大多数患者在脊髓造影中显示出体质性改变以及椎管局限性或全身性退行性狭窄。临床症状与受影响的腰椎节段相对应。对于局限性狭窄，通过脊髓造影通常可对椎间盘突出症进行鉴别诊断。这具有治疗意义，因为在这种情况下无需摘除椎间盘。
