Lumbar Spinal Stenosis and Nerve Root Entrapment Syndromes
Lumbar Spinal Stenosis and Nerve Root Entrapment Syndromes
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腰椎管狭窄症和神经根卡压综合征
DOI：
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发表时间：
1976
期刊：
影响因子：
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通讯作者：
L. Wiltse
中科院分区：
文献类型：
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作者：
C. Arnoldi;A. Brodsky;J. Cauchoix;H. V. Crock;G. F. Dommisse;M. Edgar;F. Gargano;R. Jacobson;W. Kirkaldy;A. Kurihara;A. Ld;I. Macnab;G. McIvor;P. Newman;K. Paine;L. Russin;J. Sheldon;M. Tile;M. Urist;W. E. Wilson;L. Wiltse
在整个研讨会的贡献者关注的是“汇集”的许多贡献处理背部和腿部疼痛在过去的75年。这些贡献已经处理了各种方式，其中一个或几个神经根受到张力或压缩或两者兼而有之。没有放射性疼痛的下背痛的主题，虽然非常重要，但在这次研讨会上没有讨论。所有的定义和分类本质上都是任意的和人为的。在提出这类定义和分类时，我们主要关心的是认识腰神经根可能被嵌压的方式、准确的诊断和治疗方法。多年来，人们认识到腰神经根可能受到马尾内外的压力，但这种情况发生的方式是值得怀疑的。Mixter和巴尔强调了髓核突出在腰神经根（通常是第五腰神经根或第一骶神经根）受压中的作用。在1934年他们的研究发表之前，特别是发表之后，许多论文都强调了其他类型的椎管和神经隧道狭窄的重要性，这些狭窄会导致神经根卡压。在这次研讨会上，我们关注的是所有
Throughout this Symposium the contributors are concerned with the “bringing together” of numerous contributions dealing with back and leg pain over the past 75 years. These contributions have dealt with a variety of ways in which one or several nerve roots are subjected to tension or compression or both. The subject of low back pain without irradiating pain, though extremely important, is not dealt with in this Symposium. All definitions and classifications are of their essence arbitrary and artificial. In putting forward this type of definition and classification we have been chiefly concerned with recognition of the ways in which the lumbar nerve roots can become entrapped, with accurate diagnosis and with methods of treatment. For many years it was recognized that the lumbar nerve roots could be subject to pressure both within the cauda equina and outside it but the way in which this occurred was in doubt. Mixter and Barr emphasized the role of herniation of the nucleus pulposus in producing compression of a lumbar nerve root, usually the fifth lumbar or first sacral. Before, and particularly after the publication of their work in 1934, a number of papers have stressed the importance of other types of narrowing of the spinal canal and nerve tunnels that give rise to entrapment of nerve roots. In this Symposium we are concerned with all