Knutti O, Kaech D L
Neurochirurgische Abteilung, Rätisches Kantons- und Regionalspital Chur.
Ther Umsch. 1998 Oct;55(10):601-12.
Degenerative disease of the spine is one of the most common causes of leg pain. Disc degeneration leads to disk herniation, narrowing of the spinal canal and segmental instability. Clinically we can find a radicular syndrome, a pseudoradicular syndrome and/or a neurogenic claudication. After a short review of the anatomy and pathogenesis of degenerative spinal disease the signs and symptoms of each syndrome is presented. Illustrations and tables help understand the characteristics of each topic. The postoperative lumbosciatica is also discussed including frequent causes like recurrent disk herniations, scars, neurogenic pain and spondylodiscitis. Finally a short overview of therapeutic options will be given.
脊柱退行性疾病是腿痛最常见的原因之一。椎间盘退变会导致椎间盘突出、椎管狭窄和节段性不稳定。临床上，我们可以发现神经根综合征、假性神经根综合征和/或神经源性间歇性跛行。在简要回顾退行性脊柱疾病的解剖学和发病机制后，介绍了每种综合征的体征和症状。插图和表格有助于理解每个主题的特点。还讨论了术后腰腿痛，包括复发性椎间盘突出、瘢痕、神经源性疼痛和脊椎椎间盘炎等常见原因。最后将对治疗选择进行简要概述。
