Dreyer S J, Dreyfuss P H
Department of Physical Medicine and Rehabilitation, Emory University, Atlanta, GA, USA.
Arch Phys Med Rehabil. 1996 Mar;77(3):290-300. doi: 10.1016/s0003-9993(96)90115-x.
A basic science and clinical review of low back pain due to the lumbar zygapophysial (facet) joints was performed based on a literature search of scientific journals and textbooks. Recent studies estimate that 15% to 40% of chronic low back pain is due to the zygapophysial joints. The histological basis for zygapophysial joint pain has been scientifically established, but the precise clinical etiology remains undetermined. There are no unique identifying features in the history, physical examination, and radiological imaging of patients with pain of lumbar zygapophysial joint origin. Spine physicians diagnose zygapophysial joint pain based on analgesic response to anesthetic injections into the zygapophysial joints or at their nerve supply. Studies on treatment of isolated zygapophysial joint pain are limited. This review summarizes current understanding of lumbar zygapophysial joint disorders while highlighting the need for additional research.
基于对科学期刊和教科书的文献检索，对腰椎关节突（小关节）关节引起的下腰痛进行了基础科学和临床综述。最近的研究估计，15%至40%的慢性下腰痛是由关节突关节引起的。关节突关节疼痛的组织学基础已得到科学证实，但确切的临床病因仍未确定。腰椎关节突关节源性疼痛患者的病史、体格检查和放射影像学检查中没有独特的识别特征。脊柱科医生根据对关节突关节或其神经供应部位进行麻醉注射后的镇痛反应来诊断关节突关节疼痛。关于孤立性关节突关节疼痛治疗的研究有限。本综述总结了目前对腰椎关节突关节疾病的认识，同时强调了进一步研究的必要性。
