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December 23, 1950

On Low-Back Pain with Special Reference to the Value of Operative Treatment with Fusion: A Clinical and Experimental Study

JAMA. 1950;144(17):1532. doi:10.1001/jama.1950.02920170112060

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This book is divided into eight chapters: anatomy, physiology, pathology and pathophysiology of the interverbral disk; previous investigations of the roentgenologic picture, connection with trauma and the value of conservative treatment in lumbar disk degeneration; frequency of lumbago and sciatica among the members of the Stockholm Sick Benefit Society and the employees of the Stockholm Tramway Company; results of cases of lumbago and/or sciatica with roentgenologic disk degeneration that have been treated conservatively or left untreated; surgical treatment of disk degeneration in the lumbosacral spine; analysis of 80 patients with lumbar disk degeneration treated by spinal fusion; discussion of the clinical material, and investigations of the pressure conditions in the lumbar intervertebral disks with regard to the effect of lumbar osteosynthesis.

In chapter 2 the author quotes the work of Friberg and Hirsch (1949). One hundred spines were removed from postmortem specimens; these were radiographed in flexion and extension. It

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