Perron O, Fassier F, Joncas J
Service d'Orthopédie, Hôpital Général de Baie-Comeau.
Rev Chir Orthop Reparatrice Appar Mot. 1996;82(1):29-33.
The goal of this study was to demonstrate the relationship between herniated discs and congenital spinal stenosis. A retrospective study was conducted on patients seen in our center over a five year period.
The CT-Scan evaluation was essential for the measurement of the diameter of the spinal canal. Data were compared with the values obtained in ten normal subjects.
Twelve complete charts of adolescents with herniated discs were reviewed and in all cases a spinal stenosis was established. The mean diameter of the canal was 8.1 mm for the patient group compared with 18.1 mm for the control group.
The relationship of herniated discs and spinal stenosis found here is greater than the one reported in the literature. This relationship accounts for the importance of neurological (9/12 patients) involvement found in our series in comparison with adults. This also explains the failure of conservative treatment.
本研究的目的是证明椎间盘突出与先天性椎管狭窄之间的关系。对我们中心五年内诊治的患者进行了一项回顾性研究。
CT扫描评估对于测量椎管直径至关重要。将数据与十名正常受试者获得的值进行比较。
回顾了12例青少年椎间盘突出的完整病历,所有病例均确诊为椎管狭窄。患者组椎管平均直径为8.1毫米,而对照组为18.1毫米。
此处发现的椎间盘突出与椎管狭窄之间的关系比文献报道的更为密切。这种关系解释了我们系列研究中发现的神经受累(9/12例患者)相较于成人更为重要的原因。这也解释了保守治疗失败的原因。