Laredo J D, Wybier M
Service de Radiologie Ostéo-articulaire, Hôpital Lariboisière, Paris.
Ann Radiol (Paris). 1995;38(4):161-8.
The radiological investigation of persistent or recurrent sciatica after lumbar diskectomy essentially consists of demonstrating recurrent disk herniation. Comparison between plain and contrast enhanced CT or MR examinations at the level of the diskectomy is the main step of the radiological survey. The meanings of the various radiological findings are discussed. Other lesions that may induce persistent sciatica after lumbar diskectomy include degenerative narrowing of the lateral recess, spinal instability, stress fracture of the remaining neural arch, pseudo-meningomyelocele after laminectomy.
腰椎间盘切除术后持续性或复发性坐骨神经痛的放射学检查主要在于证实椎间盘复发突出。在椎间盘切除水平进行平扫CT或增强CT以及磁共振检查之间的对比,是放射学检查的主要步骤。文中讨论了各种放射学检查结果的意义。腰椎间盘切除术后可能导致持续性坐骨神经痛的其他病变包括侧隐窝退变狭窄、脊柱不稳、剩余神经弓的应力性骨折、椎板切除术后假性脊膜脊髓膨出。