Revel M
Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis, Université René Descartes, Hôpital Cochin, Paris.
Rev Prat. 1996 Nov 15;46(18):2212-7.
Lumbar osteoarthritis involves both the disc and the facet joints. Measurements of the disc space evaluates the degeneration. There is no radio-clinical correlation at a given time. There are however inflammatory phases in facets arthrosis and discolysis with disc narrowing within few months. These attacks are responsive to NSAID'S and local injections of corticosteroids. The chronic back pain needs only analgesics and rehabilitation. Osteophytes can narrow the spinal canal and induce back and leg pains. Except neurological weakness and bladder dysfunction the medical treatment should be prolonged before the indication of surgery.
腰椎骨关节炎累及椎间盘和小关节。测量椎间隙可评估退变情况。在特定时间不存在影像学与临床的相关性。然而，小关节骨关节炎和椎间盘溶解伴有椎间盘狭窄时，在几个月内会出现炎症期。这些发作对非甾体抗炎药和局部注射皮质类固醇有反应。慢性背痛仅需使用镇痛药和进行康复治疗。骨赘可使椎管狭窄并引起腰腿痛。除神经功能减弱和膀胱功能障碍外，在考虑手术指征之前，应延长药物治疗时间。
