1病例资料陈某,男,75岁,于2013年12月29日因腰痛伴双下肢放射痛40余天,来我院门诊就诊。自诉因久坐而诱发腰痛,否认外伤,否认尿频尿急,二便可控。既往高血脂症及脑梗塞史。查体:L4、L5棘上棘间压痛,左骶髂压痛,左直腿抬高30°,右直腿抬高40°,双直腿抬高加强试验(+),双踇背伸肌力Ⅴ级,L4、L5椎体叩击痛,右肾区轻叩击痛。自带2013年11月20日某院腰椎正侧位X线片示:腰椎退行性骨关节病,骨质疏 1 case data Chen, male, 75 years old, on December 29, 2013 due to low back pain with lower extremity radiating pain for more than 40 days to our hospital clinic. Prosecution caused by sedentary and low back pain, denied trauma, urinary urgency, denied the second will be controllable. Past history of hyperlipidemia and cerebral infarction. Examination: L4, L5 spine superior spine between the tenderness, left sacral iliac tenderness, left leg raised 30 °, right leg raised 40 °, double straight leg raise test (+), double stapes extensor muscle strength Ⅴ level, L4, L5 vertebral percussion pain, right kidney area tapping pain. Born November 20, 2013 a hospital lumbar posterior X-ray showed: lumbar degenerative joint disease, osteoporosis