Cauchoix J, Bloch-Michel H, Benoist M, Deburge A, Chassaing V, Savary L
Rev Rhum Mal Osteoartic. 1976 Jul-Sep;43(7-9):475-80.
The authors report 18 cases of arthrosic sciatica due to toot compression in the lateral recess by posterior corporeal and/or posterior apophyseal osteophytosis. The authors study the clinical and radiological characteristics that may indicate the diagnosis and discuss the different mechanisms by which vertebral arthrosis can lead to radicular compression. When surgery is necessary because of the persistent nature of the sciatica, a broader approach should be undertaken than that required for excision of the disc, in order to explore fully the roots, the multiplicity of possible compression sites being one of the essential characteristics of these cases of arthrosic radiculopathy. Study of the literature and of the series of sciatica patients operated upon by the authors shows that although discal hernia is far from being the most frequent cause of common sciatica, arthrosic compression is a cause that cannot be ignored, especially in aged subjects.
作者报告了18例因椎体后缘和/或后突骨赘导致侧隐窝神经根受压引起的关节病性坐骨神经痛病例。作者研究了可能提示诊断的临床和放射学特征，并讨论了脊椎关节病导致神经根受压的不同机制。当由于坐骨神经痛的持续性而需要手术时，应采取比椎间盘切除术更广泛的方法，以便充分探查神经根，可能的受压部位的多样性是这些关节病性神经根病病例的基本特征之一。对文献以及作者所治疗的坐骨神经痛患者系列的研究表明，虽然椎间盘突出远非常见坐骨神经痛最常见的原因，但关节病性压迫是一个不可忽视的原因，尤其是在老年患者中。
