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KMID : 0377619730250040477
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Korean Jungang Medical Journal
1973 Volume.25 No. 4 p.477 ~ p.483
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THE NARROW SPINAL CANAL
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Uhn, Choi Joong
Kim, Heung Chi/Chung, Sang Sup/Hahn, Yoon Sun/Lee, Hun Jae
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Abstract
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Verbiest in 1954 made first description of narrow spinal canal. Since that time many authors described about pathogenesis and clinical features. That syndrome is due to compression of cauda equina from structural narrowing of the spinal canal.
We have recently observed one case of cauda equina compression due to narrow spinal canard reviewed about causes, clinical features, radiological diagnosis and treatment.
In 1934 Mixter and Barr deserved the syndrome of the ruptured intervertebral disc in the lumbar region. Since then the herniated intervertebral disc has been considered to be the dominant cause of low back pain and sciatica.
In 1953 Schlesinger and Taveras pointed out that in the presence of a narrow spinal canal patients with herniated intervertebral disc may present an atypical picture of multiple root or cauda equinal compression. Verbiest in 1954 made the significant observation that structural narrowing of the spinal canal alone could, if it resulted in an incongruity between the capacity and the contents of the lumbar spinal canal, give rise to compression of the roots of the cauda equina in the absence of disc herniation.
Intermittent claudication of the spinal cord was first described by Dejerine in 1911. In 1961 Blau and Logue described 6 cases of intermittent claudication produced. by protrusion of a central disc.
Most of the earlier work concerned the cervical region (Pallis, Jones and Spillone 1954), but in more recent years a similar condition has been fully recognized in the lumbar region also (Epstein, Epstein and Lavine 1962; Teng and papatheodorouphy was also essential for diagnosis. 1963).
Yet in spite of these observations, the spinal canal has received little attension.
4 The only form of successful relief of the nerve root is adequate lateral and loner Longitude Decompression.
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