THE DIAGNOSTIC-VALUE OF SELECTIVE LUMBAR NERVE ROOT SHEATH INFILTRATION

被引：10

作者：

CASTRO, WHM ^{[1
]}

VANAKKERVEEKEN, PF ^{[1
]}

机构：

[1] RUGADVIESCENTRUM,SOESTDIJKSEWEG ZUID 246,3721 AK BILTHOVEN,NETHERLANDS

来源：

ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE | 1991年 / 129卷 / 04期

关键词：

D O I：

10.1055/s-2008-1040258

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

In patients with a neurogenic claudication syndrome root tension signs and neurological deficits are usually not observed. Lumbar myelography and CT scanning show also in a number of asymptomatic elderly people signs of nerve-root involvement. When stenosis of the vertebral canal is excluded the correlation in patients between symptoms and radiological signs is not clear. To improve the diagnostic ability selective lumbar root sheath infiltration was introduced by MacNab. The diagnostic value of this test was assessed prospectively. In 24 patients with a classic disc-protrusion syndrome the sensitivity was 100%. The predictive value in patients with nerve-root-entrapment due to degenerative narrowing of the nerve-root was 70-80%.

引用

页码：374 / 379

页数：6