The Lumbar Spine An Orthopaedic Challenge
The Lumbar Spine An Orthopaedic Challenge
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腰椎骨科挑战
DOI：
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发表时间：
1976
期刊：
影响因子：
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通讯作者：
A. Nachemson
中科院分区：
文献类型：
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作者：
A. Nachemson
本文综述的腰背痛问题对世界各地的骨科医生来说是一个巨大的挑战。虽然在大多数情况下，腰痛是一个相当不引人注目的问题，但从社会经济的角度来看，在30至60岁的患者中，腰痛是最昂贵的疾病。椎间盘最有可能是疼痛的原因，但目前病因尚不清楚，因此，对于大多数患者，只能对症治疗。到目前为止，还没有令人信服的证据表明，任何类型的保守治疗的病人与腰痛是上级自然本身的过程。对于椎间盘突出引起的坐骨神经痛患者，术前正确诊断是至关重要的。对于98%的患者，心理，社会和机械压力因素，这是本文中所描述的，目前的知识，应用于适当的咨询，连同尝试纠正与任何类型的非侵入性方式根据个人医生的偏好。
The low-back pain problem reviewed in this paper represents a great challenge to orthopaedic surgeons around the world. Although in most instances a rather undramatic problem, low-back pain is, in patients aged 30 to 60 years, the most expensive ailment from a socio-economic viewpoint. The intervertebral disc is most likely the cause of the pain, but at present the etiology is unknown, and hence, for the majority of patients, only symptomatic treatment is available. So far no convincing evidence exists that any type of conservative treatment for the patient with low-back pain is superior to nature's own course. The paramount importance of a correct preoperative diagnosis for those with sciatica due to disc herniation is reiterated. For 98% of patients, the present knowledge of the psychologic, social, and mechanical stress factors, which are described in this paper, should be utilized for proper counseling, together with attempts at correction with any type of noninvasive modality according to the preference of the individual physician.