[Pathogenetic significance and diagnosis of adhesive processes in the radicular syndromes of lumbar osteochondrosis].

A study of reactive adhesive processes in the epidural space, radicles, and membranes of the spinal cord in 309 patients with lumbar osteochondrosis with radicular syndromes revealed hernia of lumbar disks in 296 patients (95.8%). In 45.6% of the patients disk hernias were attended by epiduritis. In 13 patients surgery revealed no disk hernia; one of them had aneurysm of the epidural space vessels, the rest had marked manifestations of epiduritis. In disk hernias with attendant epiduritis damage to two or three neural radicles was observed twice as frequently as in disk hernias without epiduritis. The diagnosis of cicatricial adhesive processes is based on clinico-neurological and roentgeno-contrast examinations (pneumoperidurography and peridurography with verografin.