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요추부 척추강 협착증의 임상적 고찰 Clinical Study in the Narrow Lumbar Spinal Canal

부산의대잡지 1977년 17권 2호 p.251 ~ 255
김수휴,
소속 상세정보
김수휴 (  ) 
부산대학교 의과대학 신경욋과학 교실

Abstract


Author analysed 20 cases of the narrow lumbar spinal canal, 55 cases of the herniated disc and 5 cases of the narrow spinal canal with the henniated disc in lumbar lesion urgically treated in the Department of Neurosurgery, Busan National University, Medical College.
Narrow spinal canal has may features in common with herniated disc and narrow spinal canal and herniated disc may occur together.
Comparison between the narrow spinal canal and the herniated disc in frequency, symptoms, signs and the result of the operation was attempted.
1) Males are more commonly affected than female, but this ratio is gteater in the narrow lumbar spinal canal. The mean age of onset in narrow spinal canal is in the fourth decade and the onst of symptoms is in the later years than the heniated discs. The interval between onset of symptoms and operation in narrow spinal canal is in the later years than the heniated d[sc.
2) Bilateral leg pains are more common in the narrow lumbar spinal canal.
3) The nerve root pain in the patient with a herniated disc tends to be more acute and more localized whereas in the narrow lumbar spinal canal is more chronic and less specific in the localization.
4) Symptoms and signs of involvement of the higher nerve root and more than one root would be more suggestive of a narrow lumbar spinal canal. Intermittent claudication of cauda equina is more common in the narrow lumbar spinal canal.
5) Approximately 90 per cent of Patient with narrow lumbar spinal canal return to their usual occupations following decompressive laminectomy.

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