[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
October 1, 1927


JAMA. 1927;89(14):1128-1131. doi:10.1001/jama.1927.02690140024007

In previous papers I have called attention to variations in the lumbosacral region. These are so numerous and varied that it is difficult to determine the normal. In a paper read before the American Orthopedic Association in 1925, I1 reported a series of so-called normal spines in patients who had never had backache. Fifty-five per cent of these showed varying degrees of abnormality and 4 per cent showed, according to the roentgenogram, variations in the transverse processes that might cause backache. In conclusion, I said: "It would seem from this study that variations in the lumbosacral region occur frequently in persons who have never had any symptoms of backache, and that some of these variations are very marked and severe. They also occur in persons who lead an active life and work hard. It is probable that these variations predispose to backache, but that posture, muscle relaxation and ligamentous

First Page Preview View Large
First page PDF preview
First page PDF preview