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Article
April 5, 1924

THE LUMBOSACRAL REGIONAN ANATOMIC STUDY AND SOME CLINICAL OBSERVATIONS

JAMA. 1924;82(14):1109-1114. doi:10.1001/jama.1924.02650400019007
Abstract

In a recent review of fracture dislocations of the spine treated at the New York Orthopaedic Dispensary and Hospital during the last twelve years, it was found that the majority of those injuries took place in the lumbosacral region. Interest was particularly aroused when the usual factors of occupation and type of injury were ruled out as sole provocative agents in this selective action, and the review seemed to indicate that many cases of obscure low back pain, of so-called sacroiliac strain and relaxation and of sciatica, were due to an inherent instability of the part. The present study was therefore undertaken to determine, if possible, the cause for the selection of this site of injury, and whether responsibility might not rest, in part at least, on the anatomic arrangement of the region. The study was made in the department of anatomy of the Columbia University College of Physicians and

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