Farber M A, Grents N I, Plotnikov V A
Zh Vopr Neirokhir Im N N Burdenko. 1977 Sep-Oct(5):21-4.
For a more precise diagnosis of the level of nucleus pulposus herniation in lumbar osteochondrosis, a table has been compiled taking into account 35 signs of the disease. It is based on numerical evaluation of individual symptoms of the disease depending on their topico-diagnostic importance. The table was checked on 108 patients with discogenic lumbosacral radiculitis treated at the neurosurgical department of the clinic in whom posterolateral or paramedial herniation of the nucleus pulposus at the level of L4 or L5 was discovered during the operation. The table diagnosis proved to be correct in 91% of patients, while the preoperative clinical diagnosis--only in 82% of patients. All this provides the grounds for the use of this table in precise diagnosis of the level of nucleus pulposus herniation in discogenic lumbosacral radiculitis.
为更精确地诊断腰椎骨软骨病中髓核突出的水平,已编制了一个考虑到该疾病35种体征的表格。它基于根据疾病个体症状的局部诊断重要性进行的数值评估。该表格在诊所神经外科接受治疗的108例椎间盘源性腰骶神经根炎患者中进行了检验,这些患者在手术中发现L4或L5水平的髓核后外侧或旁中央突出。表格诊断在91%的患者中被证明是正确的,而术前临床诊断仅在82%的患者中正确。所有这些都为在精确诊断椎间盘源性腰骶神经根炎中髓核突出水平时使用此表格提供了依据。