[Influence of coexisting pseudo-radicular syndrome on the results of traction treatment in cases of lumbar intervertebral disk hernia].
105 patients with lumbar disc disease, confirmed by radiculography, magnetic resonance imaging or computed tomography were investigated to evaluate the influence of pseudoradicular syndrome on therapeutic effects. On the basis of characteristic clinical symptoms of radicular and pseudoradicular syndrome patients were divided into two groups: 45 patients with dominant pseudoradicular syndrome and 35 persons with dominant radicular syndrome. All patients underwent clinical examination before and after traction treatment. Clinical evaluation included: the pain syndrome, postural disturbances and nerve root dysfunctions. The effects of the traction treatment were significantly worse in patients with the pseudoradicular syndrome. These results suggest the necessity of differential therapeutic approach in lumbar disc disease patients depending on the predominance of the pathomechanism of disease.
Pyskło
B
B
Kliniki Spondylo-Neurochirurgicznej, Instytutu Reumatologicznego w Warszawie.
Styczyński
T
T
D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D010147:Pain Measurement; D011843:Radiculopathy / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D013126:Spinal Nerve Roots / Q000503:physiopathology; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014143:Traction / Q000379:methods*; D016896:Treatment Outcome