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DOI: 10.1055/s-2008-1054009
© Georg Thieme Verlag Stuttgart · New York
Zur Beurteilung der Myelogramme beim engen lumbalen Spinalkanal
Assessment of myelograms in the narrow vertebral canalPublication History
Publication Date:
18 March 2008 (online)
Zusammenfassung
Retrospektiv wurden die Myelogramme von 40 Patienten, die wegen einer lumbalen Spinalkanalstenose operiert worden waren, vermessen. Erwartungsgemäß sind die Diameter, insbesondere der sagittale, vermindert. Es stellen sich drei Duralsackkonfigurationstypen dar, die unterschiedliche Raumkapazitäten repräsentieren. Der bei lumbaler osteogener Stenose besonders häufig vorkommende Typ, konstitutionell bedingt, muß infolge geringer Kapazität als prädisponierender Faktor für die Manifestation eines lumbalen Kompressionssyndroms gelten.
Abstract
The myelograms of 40 patients who had been operated on because of stenosis of the lumbar vertebral canal, were retrospectively assessed and measured. As was to be expected, the diameters were reduced, especially the sagittal diameter. Three configurations of the epidural space were seen representing different spatial capacities. The type occurring particularly often in lumbar osteogenic stenosis, which is conditioned by the patient's constitution, must be considered as a predisposing factor for the manifestation of a lumbar compression syndrome on account of its small capacity.
Key-words
Vertebral canal, narrow lumbar - Epidural space, lumbar - Myelograms, lumbar - Radicular syndrome